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Various surgical options have been proposed to treat chylous ascites but most have shown suboptimal outcomes. The gastroepiploic vascularized lymph node (GE\u2010VLN) 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\u2010based lymphatic \u201ccable\u201d flap (DIE\u2010LCF) connected to a pedicle GE\u2010VLN flap. Patients were followed\u2010up for a minimum of 2\u2009years. Within the first 3 months following surgery, the patient's nutritional parameters improved along with drastic reduction of ascites. At 2\u2009years follow\u2010up postoperative abdominal circumference decreased significantly. None required further peritoneal paracentesis and all patients were free of chylous ascites symptoms. In conclusion, the DIE\u2010LCF connected to a pedicle GE\u2010VLN flap could be a feasible option for the microsurgical treatment of refractory chylous ascites.<\/jats:p>","DOI":"10.1002\/micr.30736","type":"journal-article","created":{"date-parts":[[2021,4,17]],"date-time":"2021-04-17T14:28:00Z","timestamp":1618669680000},"page":"376-383","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["The deep inferior epigastric lymphatic cable flap connected to gastroepiploic lymph node flap for treatment of refractory chylous ascites: Report of two cases"],"prefix":"10.1002","volume":"41","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4646-2676","authenticated-orcid":false,"given":"Pedro","family":"Ciudad","sequence":"first","affiliation":[{"name":"Department of Plastic, Reconstructive and Burn Surgery Arzobispo Loayza National Hospital  Lima Peru"},{"name":"Department of Plastic and Reconstructive Surgery China Medical University Hospital  Taichung Taiwan"},{"name":"Department of Biotechnology, Experimental Surgery Unit The Child Health's Institute (Bre\u00f1a)  Lima Peru"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hung\u2010Chi","family":"Chen","sequence":"additional","affiliation":[{"name":"Department of Plastic and Reconstructive Surgery China Medical University Hospital  Taichung Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Samyd S.","family":"Bustos","sequence":"additional","affiliation":[{"name":"Division of Plastic and Reconstructive Surgery Mayo Clinic  Rochester Minnesota USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Oscar J.","family":"Manrique","sequence":"additional","affiliation":[{"name":"Division of Plastic and Reconstructive Surgery, Strong Memorial Hospital University of Rochester Medical Center  Rochester New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6418-2873","authenticated-orcid":false,"given":"Alberto","family":"Bolletta","sequence":"additional","affiliation":[{"name":"Department of Translational Research and New Technologies in Medicine and Surgery Plastic Surgery Unit, University of Pisa  Pisa Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2004-7538","authenticated-orcid":false,"given":"Antonio J.","family":"Forte","sequence":"additional","affiliation":[{"name":"Department of Plastic and Reconstructive Surgery Mayo Clinic  Florida Jacksonville USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2690-1635","authenticated-orcid":false,"given":"Maria T.","family":"Huayllani","sequence":"additional","affiliation":[{"name":"Department of Plastic and Reconstructive Surgery Mayo Clinic  Florida Jacksonville USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0242-0941","authenticated-orcid":false,"given":"Mouchammed","family":"Agko","sequence":"additional","affiliation":[{"name":"Section of Plastic Surgery, Medical College of Georgia Augusta University  Augusta Georgia USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J. 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