Evidence map›Paper›PMID 32420288›Full record

ArticleGland surgery2020

Gastroepiploic vascularized lymph node transfer for the treatment of extremity lymphedema: comparison between middle and distal inset.

Oscar J Manrique, Samyd Said Bustos, Trishul Kapoor, Jason Lin, Pedro Ciudad, Antonio J Forte, Gabriel Del Corral, Maria Mani, Michele Maruccia, Andre Terzic

Open access · diamondAbstract read
In one paragraph

Article in Gland surgery, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 3 pooled it
1.2field-weighted citation impact, top 19% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

13 citing papers in PubMed, 3 syntheses or guidelines pooled it, 26 citations in OpenAlex.

  1. Pooled it
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  5. [Advances in intra-abdominal vascularized lymph node transfer for treatment of limb lymphedema].Zhongguo xiu fu chong jian wai ke za zhi = Zhongguo xiufu chongjian waike zazhi = Chinese journal of reparative and reconstructive surgery · 2026
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  7. Modern approaches to lymphatic surgery: a narrative review.Translational breast cancer research : a journal focusing on translational research in breast cancer · 2025
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 5 institutions in 3 countries.

Oscar J ManriqueDivision of Plastic and Reconstructive Surgery, Mayo Clinic, Rochester, MN, USA.
Samyd Said BustosDivision of Plastic and Reconstructive Surgery, Mayo Clinic, Rochester, MN, USA.
Trishul KapoorDepartment of Surgery, Mayo Clinic, Rochester, MN, USA.
Jason LinMayo Clinic Alix School of Medicine, Rochester, MN, USA.
Pedro CiudadDepartment of Plastic, Reconstructive and Burn Surgery, Arzobispo Loayza National Hospital, Lima, Peru.
Antonio J ForteCenter for Regenerative Medicine, Mayo Clinic, Rochester, MN, USA.
Gabriel Del CorralMedStar Plastic and Reconstructive Surgery, Georgetown University Hospital, Washington D.C., USA.
Maria ManiDepartment of Plastic Surgery, Uppsala Universitet, Uppsala, Sweden.
Michele MarucciaDivision of Plastic and Reconstructive Surgery, Department of Emergency and Organ Transplantation, University of Bari Aldo Moro, Bari, Italy.
Andre TerzicCenter for Regenerative Medicine, Mayo Clinic, Rochester, MN, USA.
Mayo Clinic in Arizona · USMedStar Georgetown University Hospital · USUniversity of Bari Aldo Moro · ITUppsala University · SEWinnMed · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMiddle and distal insets of gastroepiploic vascularized lymph node transfer (GE-VLNT) for extremity lymphedema have been described. However, there has been no prior comparison of surgical or patient-reported outcomes between these techniques. We analyzed the outcomes between both insets in patients with extremity lymphedema.

methodsRetrospective review of patients with extremity-lymphedema who underwent GE-VLNT. Two groups were analyzed: middle and distal recipient inset. We analyzed 6-month surgical and patient-reported outcomes using the Lymphedema Life Impact Scale-v2 (LLISv2) and scar satisfaction utilizing the Patient Scar Assessment Questionnaire (PSAQ).

resultsBetween 2017 and 2019, 26 patients with stage II unilateral extremity lymphedema underwent laparoscopically-harvested GE-VLNT (13 distal and 13 middle inset). There were no differences in patient demographics between groups. Mean hospital stay for patients with upper extremity lymphedema was 1.3

conclusionsGE-VLNT is an effective surgical treatment for extremity lymphedema. The middle placement showed shorter hospital stay, early return to work and higher patient satisfaction.

Indexed as

breast cancer lymphedemaLymphedemalymph nodesmicrosurgerysurgical flaps

Identifiers

PMID32420288
PMCPMC7225493
OpenAlexW3009429782

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.