{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,9]],"date-time":"2026-10-09T11:08:56Z","timestamp":1791544136119,"version":"4.3.4"},"reference-count":28,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2019,8,2]],"date-time":"2019-08-02T00:00:00Z","timestamp":1564704000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of Surgical Oncology"],"published-print":{"date-parts":[[2019,11]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>A new technique named \u201cSelected Lymph Node\u201d (\u201cSeLyN\u201d) was evaluated, aiming to identify the most functional groin lymph nodes (LNs) for an effective LN transplantation.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Bilateral lower\u2010limb SPECT\u2010CT was performed in the upper\u2010limb lymphedema patients, to select the most radioactive inguinal LN. Recorded data included demographics, stage, etiology of lymphedema, flap consistency in accordance to preoperative findings, flap size, number of LN, and harvesting time. Infection episodes per year and volume changes of the upper limbs were documented. Donor\u2010site complications were recorded and lower\u2010limb evaluation was performed through clinical examination, volume analysis, and lymphoscintigraphy.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>A total of 41 patients underwent a \u201cSeLyN\u201d transfer technique. The mean flap size was 28.34\u2009cm<jats:sup>2<\/jats:sup> containing a mean of 3.4 LNs. The mean time spent on flap harvest was 39\u2009minutes. A mean 56.5% volume reduction (<jats:italic>P<\/jats:italic>\u2009&lt;\u2009.001) and a mean 1.41 to 0.29 infection episodes per patient per year (<jats:italic>P<\/jats:italic>\u2009&lt;\u2009.001) were recorded. Clinical evaluation and lymphography of the donor site advocated no major complications for a mean follow\u2010up period of 42.5 months.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>\u201cSeLyN\u201d is a safe and effective technique in selecting the most suitable LNs, minimizing the donor\u2010site morbidity, and decreasing the overall operating time.<\/jats:p><\/jats:sec>","DOI":"10.1002\/jso.25650","type":"journal-article","created":{"date-parts":[[2019,8,3]],"date-time":"2019-08-03T04:49:30Z","timestamp":1564807770000},"page":"911-918","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":18,"title":["Functional lymphatic reconstruction with the \u201cSelected Lymph Node\u201d technique guided by a SPECT\u2010CT lymphoscintigraphy"],"prefix":"10.1002","volume":"120","author":[{"given":"Dimitrios","family":"Dionyssiou","sequence":"first","affiliation":[{"name":"Department of Plastic Surgery, School of Medicine, Faculty of Health Sciences Aristotle University of Thessaloniki, \u201cPapageorgiou\u201d Hospital  Thessaloniki Greece"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Efterpi","family":"Demiri","sequence":"additional","affiliation":[{"name":"Department of Plastic Surgery, School of Medicine, Faculty of Health Sciences Aristotle University of Thessaloniki, \u201cPapageorgiou\u201d Hospital  Thessaloniki Greece"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alexandros","family":"Sarafis","sequence":"additional","affiliation":[{"name":"Department of Plastic Surgery, School of Medicine, Faculty of Health Sciences Aristotle University of Thessaloniki, \u201cPapageorgiou\u201d Hospital  Thessaloniki Greece"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christina\u2010Olga","family":"Goula","sequence":"additional","affiliation":[{"name":"Department of Plastic Surgery, School of Medicine, Faculty of Health Sciences Aristotle University of Thessaloniki, \u201cPapageorgiou\u201d Hospital  Thessaloniki Greece"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Antonios","family":"Tsimponis","sequence":"additional","affiliation":[{"name":"Department of Plastic Surgery, School of Medicine, Faculty of Health Sciences Aristotle University of Thessaloniki, \u201cPapageorgiou\u201d Hospital  Thessaloniki Greece"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Georgios","family":"Arsos","sequence":"additional","affiliation":[{"name":"3rd Department of Nuclear Medicine, School of Medicine, Faculty of Health Sciences Aristotle University of Thessaloniki, \u201cPapageorgiou\u201d Hospital  Thessaloniki Greece"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2019,8,2]]},"reference":[{"key":"e_1_2_9_1_2_1","doi-asserted-by":"publisher","DOI":"10.1155\/2013\/804675"},{"key":"e_1_2_9_1_3_1","doi-asserted-by":"publisher","DOI":"10.1097\/SAP.0b013e31828d7285"},{"key":"e_1_2_9_1_4_1","doi-asserted-by":"publisher","DOI":"10.1002\/pon.3201"},{"key":"e_1_2_9_1_5_1","doi-asserted-by":"publisher","DOI":"10.1097\/GOX.0b013e318293a532"},{"key":"e_1_2_9_1_6_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10549-016-3716-0"},{"key":"e_1_2_9_1_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.cps.2012.08.002"},{"key":"e_1_2_9_1_8_1","doi-asserted-by":"publisher","DOI":"10.1097\/GOX.0000000000000105"},{"key":"e_1_2_9_1_9_1","doi-asserted-by":"publisher","DOI":"10.1097\/SAP.0b013e31827fb39e"},{"key":"e_1_2_9_1_10_1","doi-asserted-by":"publisher","DOI":"10.1097\/SLA.0b013e3182426757"},{"key":"e_1_2_9_1_11_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.prs.0000436840.69752.7e"},{"key":"e_1_2_9_1_12_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.sla.0000201258.10304.16"},{"key":"e_1_2_9_1_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejvs.2012.11.026"},{"key":"e_1_2_9_1_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.bjps.2013.06.005"},{"key":"e_1_2_9_1_15_1","doi-asserted-by":"publisher","DOI":"10.1089\/lrb.2017.0043"},{"key":"e_1_2_9_1_16_1","doi-asserted-by":"publisher","DOI":"10.1097\/PRS.0b013e31826d1682"},{"key":"e_1_2_9_1_17_1","doi-asserted-by":"publisher","DOI":"10.1002\/jso.24682"},{"key":"e_1_2_9_1_18_1","doi-asserted-by":"publisher","DOI":"10.1055\/s-0033-1351668"},{"key":"e_1_2_9_1_19_1","doi-asserted-by":"publisher","DOI":"10.1097\/PRS.0000000000000822"},{"key":"e_1_2_9_1_20_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00259-007-0458-6"},{"key":"e_1_2_9_1_21_1","doi-asserted-by":"publisher","DOI":"10.3109\/2000656X.2012.714785"},{"issue":"49","key":"e_1_2_9_1_22_1","first-page":"170","article-title":"The diagnosis and treatment of peripheral lymphedema. 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