We read with great interest the recent article entitled “A Headto-Head Comparison Among Donor Site Morbidity After Vascularized Lymph Node Transfer: Pearls and Pitfalls of a 6-Year Single CenterExperience” by Ciudad et al. In this article the authors did an excellent work to discuss the pearls and pitfalls for lymph node flap harvest by comparing donor site morbidity and complications following vascularized lymph node transfer with the most common lymph node flaps described. Inspired by the authors, we would like to express some opinions and offer several suggestions. In particular, we would like to comment on some benefits of the Gastroepiploic Lymph Node Flap (GE-VLN), based on our experience. We agree with the authors that the GE-VLN flap, harvested by laparoscopy, is our flap of choice for treatment of extremity lymphedema to minimize donor site morbidity but also to optimize the aesthetic result.
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