Abstract
Reverse lymphatic mapping utilizes sentinel lymph node biopsy techniques to preserve the lymph nodes draining an extremity during vascularized lymph node transplant (VLNT) harvest from within a regional lymphatic basin. This technique has greatly reduced the risk of development of iatrogenic donor limb lymphedema. Herein the techniques for reverse lymphatic mapping are detailed.
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Becker C, Assouad J, Riquet M, Hidden G. Postmastectomy lymphedema: long-term results following microsurgical lymph node transplantation. Ann Surg. 2006;243(3):313–5.
Vignes S, Blanchard M, Yannoutsos A, Arrault M. Complications of autologous lymph-node transplantation for limb lymphoedema. Eur J Vasc Endovasc Surg. 2013;45(5):516–20.
Tummel E, Ochoa D, Korourian S, Betzold R, Adkins L, McCarthy M, Hung S, Kalkwarf K, Gallagher K, Lee JY, Klimberg VS. Does axillary reverse mapping prevent lymphedema after lymphadenectomy? Ann Surg. 2017;265(5):987–92.
Thompson M, Korourian S, Henry-Tillman R, Adkins L, Mumford S, Westbrook KC, Klimberg VS. Axillary reverse mapping (ARM): a new concept to identify and enhance lymphatic preservation. Ann Surg Oncol. 2007;14(6):1890–5.
Hultborn A, Hultén L, Roos B, Rosencrantz M, Rosengren B, Ahrén C. Topography of lymph drainage from mammary gland and hand to axillary lymph nodes. Acta Radiol Ther Phys Biol. 1971;10(1):65–72.
Dayan JH, Dayan E, Smith ML. Reverse lymphatic mapping: a new technique for maximizing safety in vascularized lymph node transfer. Plast Reconstr Surg. 2015;135(1):277–85.
Pons G, Abdelfattah U, Sarria J, Duch J, Masia J. Reverse lymph node mapping using indocyanine green lymphography: a step forward in minimizing donor-site morbidity in vascularized lymph node transfer. Plast Reconstr Surg. 2021;147(2):207e–12e.
Coroneos CJ, Woodward WA, Wong FC, Caudle AS, Shaitelman SF, Kuerer HM, Schaverien MV. Anatomy and physiology of the sentinel lymph nodes of the upper extremity: implications for axillary reverse mapping in breast cancer. J Surg Oncol. 2021;123(4):846–53.
Nos C, Clough KB, Bonnier P, Lasry S, Le Bouedec G, Flipo B, Classe JM, Missana MC, Doridot V, Giard S, Charitansky H, Charles-Nelson A, Bats AS, Ngo C. Upper outer boundaries of the axillary dissection. Result of the SENTIBRAS protocol: multicentric protocol using axillary reverse mapping in breast cancer patients requiring axillary dissection. Eur J Surg Oncol. 2016;42(12):1827–33.
Dayan JH, Dayan E, Kagen A, Cheng MH, Sultan M, Samson W, Smith ML. The use of magnetic resonance angiography in vascularized groin lymph node transfer: an anatomic study. J Reconstr Microsurg. 2014;30(1):41–5.
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Dayan, J.H. (2022). Reverse Lymphatic Mapping for Vascularized Lymph Node Transplant. In: Schaverien, M.V., Dayan, J.H. (eds) Multimodal Management of Upper and Lower Extremity Lymphedema. Springer, Cham. https://doi.org/10.1007/978-3-030-93039-4_11
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DOI: https://doi.org/10.1007/978-3-030-93039-4_11
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