Upper
Extremity
Lymphedema
Say Goodbye to Compression Garments after Dr. Cheng's Lymphedema Microsurgery
NO
Local recurrence, distant metastasis
and branchial plexus neunitis
Prevention of lymphedema
Contraindication for VLN flap transfer
Tc-99 lymphoscintigraphy
Cheng Lymphedema Grading 1 or 2
Total obstruction,
Partial obstrution,
Cheng Lymphedema Grading 3 or 4
LVA
Physical therapy and compression garments
VLN flap transfer
Not responsive for 6
months, and recurrent
episodes of cellulitis
Continuous physical therapy
and compression garments
Wrist
Flap revision
Elbow
Concern functional recovery
Concern cosmesis more than function
Postmastectomy upper limb lymphedema
YES
YES
腹股溝淋巴結皮瓣移植及受體部位的限制、選擇、適應症。VGLN，腹股溝淋巴結; ISL，國際淋巴水腫學會; Tc-99，鎝-99。
資料來源： Cheng MH, Chen SC, Henry SL, Tan BK, Lin MC, Huang JJ. Vascularized groin lymph node flap transfer for postmastectomy upper limb lymphedema: flap anatomy, recipient sites, and outcomes. Plast Reconstr Surg. 2013 Jun;131(6):1286-98.
Dr. Cheng, a world authority in micro-reconstructive plastic surgery and lymphedema treatment, provides surgical services such as lymphedema treatment, breast reconstruction, breast augmentation, double eyelids, eye bags, liposuction, wrinkle removal and lift.
The cases in this article have been published with the consent of the parties involved, and have signed a public authorization letter. The pre- and post-operative case photos in this article are only used as an introduction to surgical medical information. The treatment effect will vary depending on individual constitution and post-operative care.
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