title: Double autologous lymph node transplantation (ALNT) at the level of the knee and inguinal region for advanced lymphoedema of the lower limb (elephantiasis).
abstract: Primary lower-limb lymphoedema is a chronic, progressive and debilitating condition with a difficult management, especially in advanced cases (elephantiasis). Recently, autologous lymph node transplantation (ALNT) appears to be a promising treatment for extremity lymphoedema. A case of a double ALNT for an advanced primary lower-limb lymphoedema is here reported: a contralateral inguinal lymph node flap was transferred to the knee and, in a second surgery, a thoracic lymph node flap was transplanted to the inguinal region. Clinical outcomes at 5 months postoperatively are very satisfactory with reduction in limb circumferences and improvement in skin quality and social impairment.
authors.affiliation: Department of Plastic and Reconstructive Surgery and Burn Unit, Getafe Hospital, Madrid, Spain. Electronic address: cristinnagm@hotmail.com.
authors.forename: C
authors.initials: C
authors.lastname: Gómez Martín
authors.affiliation: Department of Plastic and Reconstructive Surgery and Burn Unit, Getafe Hospital, Madrid, Spain.
authors.forename: C
authors.initials: C
authors.lastname: Murillo
authors.affiliation: Department of Plastic and Reconstructive Surgery and Burn Unit, Getafe Hospital, Madrid, Spain.
authors.forename: A A
authors.initials: AA
authors.lastname: Maldonado
authors.affiliation: Department of Plastic and Reconstructive Surgery and Burn Unit, Getafe Hospital, Madrid, Spain.
authors.forename: L
authors.initials: L
authors.lastname: Cristóbal
authors.affiliation: Department of Plastic and Reconstructive Surgery and Burn Unit, Getafe Hospital, Madrid, Spain.
authors.forename: J L
authors.initials: JL
authors.lastname: Fernández-Cañamaque
mesh_terms: D004604:Elephantiasis / Q000473:pathology* / Q000601:surgery*; D006801:Humans; D007264:Inguinal Canal / Q000601:surgery; D007717:Knee / Q000601:surgery; D007866:Leg / Q000473:pathology*; D008198:Lymph Nodes / Q000637:transplantation*; D008297:Male; D008875:Middle Aged; D009929:Organ Size; D013524:Surgical Flaps
keywords: Lower limb; Lymph node transplantation; Lymphoedema; Microsurgery