Evidence map›Paper›PMID 33826249›Full record

SynthesisCancer reports (Hoboken, N.J.)2021

Vascularized omental lymphatic transplant for upper extremity lymphedema: A systematic review.

Nicholas R Jarvis, Ricardo A Torres, Francisco R Avila, Antonio J Forte, Alanna M Rebecca, Chad M Teven

Abstract readSystematic Review
In one paragraph

Synthesis in Cancer reports (Hoboken, N.J.), 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

7 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Review
  3. Article
  4. Modern approaches to lymphatic surgery: a narrative review.Translational breast cancer research : a journal focusing on translational research in breast cancer · 2025
    Review
  5. Article
  6. Article
  7. Article
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

6 authors.

Nicholas R JarvisMayo Clinic Alix School of Medicine, Mayo Clinic, Scottsdale, Arizona, USA.
Ricardo A TorresDivision of Plastic Surgery, Mayo Clinic, Jacksonville, Florida, USA.
Francisco R AvilaDivision of Plastic Surgery, Mayo Clinic, Jacksonville, Florida, USA.
Antonio J ForteDivision of Plastic Surgery, Mayo Clinic, Jacksonville, Florida, USA.ORCID 0000-0003-2004-7538
Alanna M RebeccaDivision of Plastic and Reconstructive Surgery, Department of Surgery, Mayo Clinic, Phoenix, Arizona, USA.
Chad M TevenDivision of Plastic and Reconstructive Surgery, Department of Surgery, Mayo Clinic, Phoenix, Arizona, USA.ORCID 0000-0002-2835-9942

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundVascularized omental lymphatic transplant (VOLT) is an increasingly popular treatment of extremity lymphedema given its promising donor site. While the success of VOLT in the treatment of lymphedema has been reported previously, several questions remain.

aimTo further elucidate appropriate use of VOLT in the treatment of lymphedema, specifically addressing patient selection, harvest technique, and operative methods. METHODS AND

resultsA systematic review of VOLT for upper extremity lymphedema was performed. Of 115 yield studies, seven were included for analysis based on inclusion and exclusion criteria. Included studies demonstrated significant reductions in extremity circumference/volume (average volume reduction, 22.7%-39.5%) as well as subjective improvements using patient-reported outcomes. Though studies are heterogenous and limited, when analyzed in aggregate, suggest the efficacy of VOLT in lymphedema treatment.

conclusionThis is the largest systematic review of VOLT to date. VOLT continues to show promise as a safe and efficacious surgical intervention for lymphedema in the upper extremity. Further studies are warranted to more definitively identify patients for whom this technique is appropriate as well as ideal harvest and inset technique.

Indexed as

Breast NeoplasmsFemaleHumansLymphedemaMastectomyOmentumPerforator FlapPostoperative ComplicationsTreatment OutcomeUpper Extremitylymphedemamicrosurgeryomental flapupper extremityvascularized omental lymphatic transplant

Identifiers

PMID33826249
PMCPMC8388172

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Registered trials

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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.