Vascularized omental lymphatic transplant for upper extremity lymphedema: A systematic review
Abstract Background Vascularized omental lymphatic transplant (VOLT) is an increasingly popular treatment of extremity lymphedema given its promising donor site. While the success of VOLT in the treatment of lymphedema has been reported previously, several questions remain. Aim To further elucidate...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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Wiley
2021-08-01
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| Series: | Cancer Reports |
| Subjects: | |
| Online Access: | https://doi.org/10.1002/cnr2.1370 |
| _version_ | 1819085924120657920 |
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| author | Nicholas R. Jarvis Ricardo A. Torres Francisco R. Avila Antonio J. Forte Alanna M. Rebecca Chad M. Teven |
| author_facet | Nicholas R. Jarvis Ricardo A. Torres Francisco R. Avila Antonio J. Forte Alanna M. Rebecca Chad M. Teven |
| author_sort | Nicholas R. Jarvis |
| collection | DOAJ |
| description | Abstract Background Vascularized omental lymphatic transplant (VOLT) is an increasingly popular treatment of extremity lymphedema given its promising donor site. While the success of VOLT in the treatment of lymphedema has been reported previously, several questions remain. Aim To further elucidate appropriate use of VOLT in the treatment of lymphedema, specifically addressing patient selection, harvest technique, and operative methods. Methods and Results A systematic review of VOLT for upper extremity lymphedema was performed. Of 115 yield studies, seven were included for analysis based on inclusion and exclusion criteria. Included studies demonstrated significant reductions in extremity circumference/volume (average volume reduction, 22.7%‐39.5%) as well as subjective improvements using patient‐reported outcomes. Though studies are heterogenous and limited, when analyzed in aggregate, suggest the efficacy of VOLT in lymphedema treatment. Conclusion This is the largest systematic review of VOLT to date. VOLT continues to show promise as a safe and efficacious surgical intervention for lymphedema in the upper extremity. Further studies are warranted to more definitively identify patients for whom this technique is appropriate as well as ideal harvest and inset technique. |
| first_indexed | 2024-12-21T21:12:05Z |
| format | Article |
| id | doaj.art-c2f1d69981934ae497d313b3170a37bf |
| institution | Directory Open Access Journal |
| issn | 2573-8348 |
| language | English |
| last_indexed | 2024-12-21T21:12:05Z |
| publishDate | 2021-08-01 |
| publisher | Wiley |
| record_format | Article |
| series | Cancer Reports |
| spelling | doaj.art-c2f1d69981934ae497d313b3170a37bf2022-12-21T18:50:07ZengWileyCancer Reports2573-83482021-08-0144n/an/a10.1002/cnr2.1370Vascularized omental lymphatic transplant for upper extremity lymphedema: A systematic reviewNicholas R. Jarvis0Ricardo A. Torres1Francisco R. Avila2Antonio J. Forte3Alanna M. Rebecca4Chad M. Teven5Mayo Clinic Alix School of Medicine Mayo Clinic Scottsdale Arizona USADivision of Plastic Surgery Mayo Clinic Jacksonville Florida USADivision of Plastic Surgery Mayo Clinic Jacksonville Florida USADivision of Plastic Surgery Mayo Clinic Jacksonville Florida USADivision of Plastic and Reconstructive Surgery, Department of Surgery Mayo Clinic Phoenix Arizona USADivision of Plastic and Reconstructive Surgery, Department of Surgery Mayo Clinic Phoenix Arizona USAAbstract Background Vascularized omental lymphatic transplant (VOLT) is an increasingly popular treatment of extremity lymphedema given its promising donor site. While the success of VOLT in the treatment of lymphedema has been reported previously, several questions remain. Aim To further elucidate appropriate use of VOLT in the treatment of lymphedema, specifically addressing patient selection, harvest technique, and operative methods. Methods and Results A systematic review of VOLT for upper extremity lymphedema was performed. Of 115 yield studies, seven were included for analysis based on inclusion and exclusion criteria. Included studies demonstrated significant reductions in extremity circumference/volume (average volume reduction, 22.7%‐39.5%) as well as subjective improvements using patient‐reported outcomes. Though studies are heterogenous and limited, when analyzed in aggregate, suggest the efficacy of VOLT in lymphedema treatment. Conclusion This is the largest systematic review of VOLT to date. VOLT continues to show promise as a safe and efficacious surgical intervention for lymphedema in the upper extremity. Further studies are warranted to more definitively identify patients for whom this technique is appropriate as well as ideal harvest and inset technique.https://doi.org/10.1002/cnr2.1370lymphedemamicrosurgeryomental flapupper extremityvascularized omental lymphatic transplant |
| spellingShingle | Nicholas R. Jarvis Ricardo A. Torres Francisco R. Avila Antonio J. Forte Alanna M. Rebecca Chad M. Teven Vascularized omental lymphatic transplant for upper extremity lymphedema: A systematic review Cancer Reports lymphedema microsurgery omental flap upper extremity vascularized omental lymphatic transplant |
| title | Vascularized omental lymphatic transplant for upper extremity lymphedema: A systematic review |
| title_full | Vascularized omental lymphatic transplant for upper extremity lymphedema: A systematic review |
| title_fullStr | Vascularized omental lymphatic transplant for upper extremity lymphedema: A systematic review |
| title_full_unstemmed | Vascularized omental lymphatic transplant for upper extremity lymphedema: A systematic review |
| title_short | Vascularized omental lymphatic transplant for upper extremity lymphedema: A systematic review |
| title_sort | vascularized omental lymphatic transplant for upper extremity lymphedema a systematic review |
| topic | lymphedema microsurgery omental flap upper extremity vascularized omental lymphatic transplant |
| url | https://doi.org/10.1002/cnr2.1370 |
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