Lymphatic flow through (LyFT) ALT flap: an original solution to reconstruct soft tissue loss with lymphatic leakage or lower limb lymphedema

References

• Sorelius K, Schiraldi L, Giordano S, et al. Reconstructive surgery of inguinal defects: a systematic literature review of surgical etiology and reconstructive technique. In Vivo. 2019;33(1):1–9.
   PubMed Web of Science ®Google Scholar
• Watfa W, Campisi C, Ryan M, et al. Lymphatic leaks of the thigh and inguinal region: combined plastic surgery approaches for an effective treatment algorithm. Ann Plast Surg. 2020;85(6):661–667.
   PubMed Web of Science ®Google Scholar
• Exton RJ, Galland RB. Major groin complications following the use of synthetic grafts. Eur J Vasc Endovasc Surg. 2007;34(2):188–190.
   PubMed Web of Science ®Google Scholar
• Guiotto M, Bramhall RJ, Campisi C, et al. A systematic review of outcomes after genital lymphedema surgery: microsurgical reconstruction versus excisional procedures. Ann Plast Surg. 2019;83(6):e85–e91.
   PubMed Web of Science ®Google Scholar
• Zelken JA, AlDeek NF, Hsu CC, Chang NJ, et al. Algorithmic approach to lower abdominal, perineal, and groin reconstruction using anterolateral thigh flaps. Microsurgery. 2016;36(2):104–114.
   PubMed Web of Science ®Google Scholar
• Scaglioni MF, Fontein DBY, Arvanitakis M, et al. Systematic review of lymphovenous anastomosis (LVA) for the treatment of lymphedema. Microsurgery. 2017;37(8):947–953.
   PubMed Web of Science ®Google Scholar
• Lannon DA, Ross GL, Addison PD, et al. Versatility of the proximally pedicled anterolateral thigh flap and its use in complex abdominal and pelvic reconstruction. Plast Reconstr Surg. 2011;127(2):677–688.
   PubMed Web of Science ®Google Scholar
• LoGiudice JA, Haberman K, Sanger JR. The anterolateral thigh flap for groin and lower abdominal defects: a better alternative to the rectus abdominis flap. Plast Reconstr Surg. 2014;133(1):162–168.
   PubMed Web of Science ®Google Scholar
• Mukenge S, Pulitano C, Colombo R, et al. Secondary scrotal lymphedema: a novel microsurgical approach. Microsurgery. 2007;27(8):655–656.
   PubMed Web of Science ®Google Scholar
• Otsuki Y, Yamada K, Hasegawa K, et al. Overview of treatments for male genital lymphedema: critical literature review and anatomical considerations. Plast Reconstr Surg. 2012;129(4):767e–769e.
   PubMed Web of Science ®Google Scholar
• Chen R, Mu L, Zhang H, et al. Simultaneous breast reconstruction and treatment of breast cancer-related upper arm lymphedema with lymphatic lower abdominal flap. Ann Plast Surg. 2014;73(Supplement 1):S12–S17.
   PubMedGoogle Scholar
• Boccardo F, Valenzano M, Costantini S, et al. LYMPHA technique to prevent secondary lower limb lymphedema. Ann Surg Oncol. 2016;23(11):3558–3563.
   PubMed Web of Science ®Google Scholar
• Maruccia M, Elia R, Ciudad P, et al. Postmastectomy upper limb lymphedema: Combined vascularized lymph node transfer and scar release with fat graft expedites surgical and patients' related outcomes. A retrospective comparative study. J Plast Reconstr Aesthet Surg. 2019;72(6):892–901.
   PubMed Web of Science ®Google Scholar
• Fujiki M, Miyamoto S, Sakuraba M. Flow-through anastomosis for both the artery and vein in leg free flap transfer. Microsurgery. 2015;35(7):536–540.
   PubMed Web of Science ®Google Scholar
• di Summa PG, Guillier D. The lymphatic Flow-Through (LyFT) flap: proof of concept of an original approach. J Plast Reconstr Aesthet Surg. 2020;73(5):983–1007. doi: 10.1016/j.bjps.2020.01.014
   Web of Science ®Google Scholar
• Kleinhans E, Baumeister RG, Hahn D, et al. Evaluation of transport kinetics in lymphoscintigraphy: follow-up study in patients with transplanted lymphatic vessels. Eur J Nucl Med. 1985;10(7-8):349–352.
   PubMedGoogle Scholar
• Villa G, Campisi CC, Ryan M, et al. Procedural recommendations for lymphoscintigraphy in the diagnosis of peripheral lymphedema: the genoa protocol. Nucl Med Mol Imaging. 2019;53(1):47–56.
   PubMed Web of Science ®Google Scholar
• Keeley V. Quality of life assessment tools in chronic oedema. Br J Community Nurs. 2008;13(10):S22–S27.
   PubMedGoogle Scholar
• di Summa PG, Tremp M, Meyer Zu Schwabedissen M, et al. The combined pedicled anterolateral thigh and vastus lateralis flap as filler for complex perineal defects. Ann Plast Surg. 2015;75(1):66–73.
   PubMed Web of Science ®Google Scholar
• Chen SH, Hentz VR, Wei FC, et al. Short gracilis myocutaneous flaps for vulvoperineal and inguinal reconstruction. Plast Reconstr Surg. 1995;95(2):372–377.
   PubMed Web of Science ®Google Scholar
• Patel KM, Lin CY, Cheng MH. A prospective evaluation of Lymphedema-Specific quality-of-Life outcomes following vascularized lymph node transfer. Ann Surg Oncol. 2015;22(7):2424–2430.
   PubMed Web of Science ®Google Scholar
• Wei FC, Jain V, Celik N, et al. Have we found an ideal soft-tissue flap? An experience with 672 anterolateral thigh flaps. Plast Reconstr Surg. 2002;109(7):2219–2226.
   PubMedGoogle Scholar
• Maruccia M, Fallico N, Cigna E, et al. Suprafascial versus traditional harvesting technique for free antero lateral thigh flap: a case-control study to assess the best functional and aesthetic result in extremity reconstruction. Microsurgery. 2017;37(8):851–857.
   PubMed Web of Science ®Google Scholar
• Maruccia M, Orfaniotis G, Ciudad P, et al. Application of extended bi-pedicle anterolateral thigh free flaps for reconstruction of large defects: a case series. Microsurgery. 2018;38(1):26–33.
   PubMed Web of Science ®Google Scholar
• DI Summa PG, Watfa W, Campisi C, et al. Free versus pedicled anterolateral thigh flap for abdominal wall reconstruction. Anticancer Res. 2019;39(12):6759–6768.
   PubMed Web of Science ®Google Scholar
• Friji MT, Suri MP, Shankhdhar VK, et al. Pedicled anterolateral thigh flap: a versatile flap for difficult regional soft tissue reconstruction. Ann Plast Surg. 2010;64(4):458–461.
   PubMed Web of Science ®Google Scholar
• di Summa PG, Matter M, Kalbermatten DF, et al. Transabdominal-pelvic-perineal (TAPP) anterolateral thigh flap: a new reconstructive technique for complex defects following extended abdominoperineal resection. J Plast Reconstr Aesthet Surg. 2016;69(3):359–367.
   PubMed Web of Science ®Google Scholar
• di Summa PG, Watfa W, Giordano S, et al. Composite ALT flap for structured reconstruction of the abdominal wall: new insights from long-term outcomes in 14 patients. J Plast Reconstr Aesthet Surg. 2019;72(10):1700–1738.
   PubMed Web of Science ®Google Scholar
• Chang DW, Suami H, Skoracki R. A prospective analysis of 100 consecutive lymphovenous bypass cases for treatment of extremity lymphedema. Plast Reconstr Surg. 2013;132(5):1305–1314.
   PubMed Web of Science ®Google Scholar
• Suami H, Yamashita S, Soto-Miranda MA, et al. Lymphatic territories (lymphosomes) in a canine: an animal model for investigation of postoperative lymphatic alterations. PLOS One. 2013;8(7):e69222.
   PubMed Web of Science ®Google Scholar
• Mihara M, Hara H, Tange S, et al. Multisite lymphaticovenular bypass using supermicrosurgery technique for lymphedema management in lower lymphedema cases. Plast Reconstr Surg. 2016;138(1):262–272.
   PubMed Web of Science ®Google Scholar
• Szuba A, Rockson SG. Lymphedema: classification, diagnosis and therapy. Vasc Med. 1998;3(2):145–156.
   PubMedGoogle Scholar
• Campisi CC, Ryan M, Boccardo F, et al. A single-site technique of multiple lymphatic-venous anastomoses for the treatment of peripheral lymphedema: long-term clinical outcome. J Reconstr Microsurg. 2016;32(1):42–49.
   PubMed Web of Science ®Google Scholar
• Chen WF, Yamamoto T, Fisher M, et al. The "octopus" lymphaticovenular anastomosis: Evolving beyond the standard supermicrosurgical technique. J Reconstr Microsurg. 2015;31(6):450–457.
   PubMed Web of Science ®Google Scholar
• Giacalone G, Yamamoto T, Hayashi A, et al. Lymphatic supermicrosurgery for the treatment of recurrent lymphocele and severe lymphorrhea. Microsurgery. 2019;39(4):326–331.
   PubMed Web of Science ®Google Scholar
• Basta MN, Gao LL, Wu L. Reply: operative treatment of peripheral lymphedema: a systematic Meta-analysis of the efficacy and safety of lymphovenous microsurgery and tissue transplant. Plast Reconstr Surg. 2014;134(3):492e–493e.
   PubMed Web of Science ®Google Scholar
• Yamamoto T, Iida T, Yoshimatsu H, et al. Lymph flow restoration after tissue replantation and transfer: importance of lymph axiality and possibility of lymph flow reconstruction without lymph node transfer or lymphatic anastomosis. Plast Reconstr Surg. 2018;142(3):796–804.
   PubMed Web of Science ®Google Scholar
• Schaverien MV, Coroneos CJ. Surgical treatment of lymphedema. Plast Reconstr Surg. 2019;144(3):738–758.
   PubMed Web of Science ®Google Scholar
• Tourani SS, Taylor GI, Ashton MW. Long-term patency of lymphovenous anastomoses: a systematic review. Plast Reconstr Surg. 2016;138(2):492–498.
   PubMed Web of Science ®Google Scholar
• Head LK, Momtazi M. Economics of lymphovenous bypass. Plast Reconstr Surg. 2019;144(5):751e–759e.
   PubMed Web of Science ®Google Scholar