• español
    • English
  • Policies
  • English 
    • español
    • English
  • Login
View Item 
  •   Repositorio Institucional ULima
  • Artículos científicos
  • Ingeniería Industrial
  • View Item
  •   Repositorio Institucional ULima
  • Artículos científicos
  • Ingeniería Industrial
  • View Item
JavaScript is disabled for your browser. Some features of this site may not work without it.

The deep inferior epigastric lymphatic cable flap connected to gastroepiploic lymph node flap for treatment of refractory chylous ascites: Report of two cases

Thumbnail
View/Open
Descargar
(application/pdf: 363.6Kb)
Date
2021
Author(s)
Ciudad, Pedro
Chen, Hung Chi
Bustos, Samyd Said
Manrique, Oscar Javier
Bolletta, Alberto
Forte, Antonio J.
Huayllani, María T.
Agko, Mouchammed
Urbina, J. Antonio
Date, Shivprasad V.
Kaya, Burak
Metadata
Show full item record
Abstract
Chylous ascites is the leakage of lipid-rich lymph into the peritoneal cavity usually due to disruption of lymphatics or increased peritoneal lymphatic pressure. Various surgical options have been proposed to treat chylous ascites but most have shown suboptimal outcomes. The gastroepiploic vascularized lymph node (GE-VLN) flap has been described previously for the treatment of lymphedema. In chylous ascites, this flap could provide an alternate drainage pathway for the intraperitoneal chylous fluid. The purpose of this report is to present another option for the microsurgical treatment of refractory chylous ascites. Herein, we report two patients with refractory chylous ascites secondary to cancer who have undergone deep inferior epigastric-based lymphatic “cable” flap (DIE-LCF) connected to a pedicle GE-VLN flap. Patients were followed-up for a minimum of 2 years. Within the first 3 months following surgery, the patient's nutritional parameters improved along with drastic reduction of ascites. At 2 years follow-up postoperative abdominal circumference decreased significantly. None required further peritoneal paracentesis and all patients were free of chylous ascites symptoms. In conclusion, the DIE-LCF connected to a pedicle GE-VLN flap could be a feasible option for the microsurgical treatment of refractory chylous ascites.
URI
https://hdl.handle.net/20.500.12724/13017
DOI
https://doi.org/10.1002/micr.30736
How to cite
Ciudad, P., Chen, H.-C., Bustos, S. S., Manrique, O. J., Bolletta, A., Forte, A. J., Huayllani, M. T., Agko, M., Urbina, J. A., Date, S. V., Kaya, B. (2021). The deep inferior epigastric lymphatic cable flap connected to gastroepiploic lymph node flap for treatment of refractory chylous ascites: Report of two cases. https://doi.org/10.1002/micr.30736
Publisher
Wiley-Blackwell
Area / Line of research
Calidad de vida y bienestar / Salud
Category / Subcategory
Ciencias / Medicina y Salud
Subject
Ascitis
Peritoneo
Microcirugía
Terapéutica
Ascites
Peritoneum
Microsurgery
Therapeutics
Note
Indexado en Scopus
Collections
  • Ingeniería Industrial [93]


Contacto: repositorio@ulima.edu.pe

Todos los derechos reservados. Diseñado por Chimera Software
 

 

Browse

All of DSpaceCommunities & CollectionsBy Issue DateAuthorsTitlesSubjectsAdvisorsAuthors UlimaArea / Line of researchCategory / SubcategoryDocument typeThis CollectionBy Issue DateAuthorsTitlesSubjectsAdvisorsAuthors UlimaArea / Line of researchCategory / SubcategoryDocument type

My Account

LoginRegister

Statistics

View Usage Statistics

Contacto: repositorio@ulima.edu.pe

Todos los derechos reservados. Diseñado por Chimera Software