{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,18]],"date-time":"2026-06-18T07:04:23Z","timestamp":1781766263838,"version":"3.54.5"},"reference-count":22,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2020,1,17]],"date-time":"2020-01-17T00:00:00Z","timestamp":1579219200000},"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":["Microsurgery"],"published-print":{"date-parts":[[2020,7]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Soft tissue sarcomas are a rare group of malignant tumors that often require an extensive surgical resection to be safely treated. When they are localized in the upper medial thigh, this treatment inevitably leads to large defects frequently causing a series of early and late postoperative complications. Among these, lymphocele and lymphedema are rather common and should try to be avoided. Many solutions with a demonstrated efficacy have been described for this purpose after groin dissection procedure, ranging from lymphovenous anastomosis to pedicled or free flaps. Anyway, there is much less information regarding the medial thigh. Here we present a case of resected sarcoma involving the adductors compartment reconstructed using a pedicled deep inferior epigastric (DIEP) flap with lymphatic tissue transfer, combined with preventive lymphovenous anastomosis (LVA) performed at the superior\u2010edge\u2010of\u2010the\u2010knee incision (SEKI) point. A 58\u2010year\u2010old patient presented a 10 cm\u2009\u00d7\u200912\u2009cm soft tissue defect after margin free sarcoma removal. To fill this defect, we harvest a 24\u2009\u00d7\u20099 cm pedicled DIEP flap conserving its lymphatic vessels running from the upper margin to the right groin lymphnodes. Then we rotated it maintaining the lymphnodes in their original site and moved it through an inguinal tunnel in the area of the defect. The distal part was de\u2010epithelized and folded down to cover the deeper region. The postoperative course was uneventful and at the 6 months follow up the patient showed a good outcome with no swelling and no signs of tumor relapse. This result therefore may suggest that this kind of combined treatment might be an effective technique to prevent all those complications linked to the impairment of lymphatic system drainage in the proximal medial thigh.<\/jats:p>","DOI":"10.1002\/micr.30558","type":"journal-article","created":{"date-parts":[[2020,1,17]],"date-time":"2020-01-17T12:45:56Z","timestamp":1579265156000},"page":"598-603","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":13,"title":["Combined lymphovenous anastomosis and deep inferior epigastric perforator flap with lymphatic tissue preservation for defect reconstruction and lymphedema\u2010lymphocele prevention after medial thigh sarcoma resection: A case report"],"prefix":"10.1002","volume":"40","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5289-9140","authenticated-orcid":false,"given":"Mario F.","family":"Scaglioni","sequence":"first","affiliation":[{"name":"Depatment of Hand\u2010 and Plastic Surgery Luzerner Kantonsspital  Lucerne Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Matteo","family":"Meroni","sequence":"additional","affiliation":[{"name":"Depatment of Hand\u2010 and Plastic Surgery Luzerner Kantonsspital  Lucerne Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alberto","family":"Franchi","sequence":"additional","affiliation":[{"name":"Depatment of Hand\u2010 and Plastic Surgery Luzerner Kantonsspital  Lucerne Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elmar","family":"Fritsche","sequence":"additional","affiliation":[{"name":"Depatment of Hand\u2010 and Plastic Surgery Luzerner Kantonsspital  Lucerne Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2020,1,17]]},"reference":[{"key":"e_1_2_4_2_1","doi-asserted-by":"publisher","DOI":"10.1245\/s10434-011-1624-4"},{"key":"e_1_2_4_3_1","doi-asserted-by":"publisher","DOI":"10.5999\/aps.2012.39.1.3"},{"key":"e_1_2_4_4_1","doi-asserted-by":"publisher","DOI":"10.1097\/PRS.0b013e3182a4d626"},{"key":"e_1_2_4_5_1","doi-asserted-by":"crossref","unstructured":"Chen W. F. McNurlen M. Ding J. &Bowen M.(2019).Vascularized Lymph Vessel Transfer for Extremity Lymphedema \u2010 Is Transfer of Lymph Node Still Necessary?.https:\/\/scitemed.com\/upload\/5100\/2850\/scitemed.imj.2019.00119.pdf?t=1010.","DOI":"10.24983\/scitemed.imj.2019.00119"},{"key":"e_1_2_4_6_1","doi-asserted-by":"publisher","DOI":"10.1055\/s-2005-864841"},{"key":"e_1_2_4_7_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00423-011-0823-6"},{"key":"e_1_2_4_8_1","doi-asserted-by":"publisher","DOI":"10.1155\/2011\/289673"},{"key":"e_1_2_4_9_1","doi-asserted-by":"publisher","DOI":"10.1002\/micr.30142"},{"key":"e_1_2_4_10_1","doi-asserted-by":"publisher","DOI":"10.1002\/micr.22478"},{"key":"e_1_2_4_11_1","doi-asserted-by":"publisher","DOI":"10.1634\/theoncologist.2016-0498"},{"key":"e_1_2_4_12_1","doi-asserted-by":"publisher","DOI":"10.1097\/00006534-199602000-00018"},{"key":"e_1_2_4_13_1","doi-asserted-by":"publisher","DOI":"10.1245\/s10434-008-0216-4"},{"key":"e_1_2_4_14_1","doi-asserted-by":"publisher","DOI":"10.1002\/micr.22402"},{"key":"e_1_2_4_15_1","doi-asserted-by":"publisher","DOI":"10.1097\/IGC.0b013e318287a8e8"},{"key":"e_1_2_4_16_1","doi-asserted-by":"publisher","DOI":"10.1002\/micr.30372"},{"key":"e_1_2_4_17_1","doi-asserted-by":"publisher","DOI":"10.1177\/230949900901700307"},{"key":"e_1_2_4_18_1","doi-asserted-by":"publisher","DOI":"10.1002\/micr.30246"},{"key":"e_1_2_4_19_1","doi-asserted-by":"publisher","DOI":"10.1002\/micr.30157"},{"issue":"2","key":"e_1_2_4_20_1","first-page":"79","article-title":"Lymphatic tract reconstruction using a pedicled deep inferior epigastric perforator flap","volume":"51","author":"Suzuki Y.","year":"2018","journal-title":"Lymphology"},{"key":"e_1_2_4_21_1","doi-asserted-by":"publisher","DOI":"10.1097\/SAP.0000000000000599"},{"key":"e_1_2_4_22_1","doi-asserted-by":"publisher","DOI":"10.1097\/PRS.0000000000004694"},{"key":"e_1_2_4_23_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0017201"}],"container-title":["Microsurgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1002%2Fmicr.30558","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/micr.30558","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/micr.30558","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/micr.30558","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,5]],"date-time":"2023-09-05T05:06:00Z","timestamp":1693890360000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/micr.30558"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,1,17]]},"references-count":22,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2020,7]]}},"alternative-id":["10.1002\/micr.30558"],"URL":"https:\/\/doi.org\/10.1002\/micr.30558","archive":["Portico"],"relation":{},"ISSN":["0738-1085","1098-2752"],"issn-type":[{"value":"0738-1085","type":"print"},{"value":"1098-2752","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,1,17]]},"assertion":[{"value":"2019-10-11","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2020-01-03","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2020-01-17","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}