DOI: http://dx.doi.org/10.18203/2349-2902.isj20205914

Charles procedure combined with staged subcutaneous excision in treating a case of chronic massive lymphedema: a case report

Nimesh Verma, Rushabh Maisuria, Amit Patel, Sankhya Bhat S.

Abstract


Lymphedema in its advanced stage is a physically and psychologically debilitating condition as conservative management alone in this condition, barely makes any difference in patient’s quality of life. Here we present a case report where we were able to successfully treat our patient of massive lymphedema and help him walk on his feet, by an approach where we combined Charles procedure and staged subcutaneous excision of soft tissue.


Keywords


Lymphedema, Subcutaneous excision, Charles procedure, De-bulking surgery

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References


Executive Committee of the International Society of Lymphology. The diagnosis and treatment of peripheral lymphedema. 2020 consensus document of the international society of lymphology. Lymphol. 2020;53:3-19.

Shoman H, Ellahham S. Lymphedema: a mini-review on the pathophysiology, diagnosis and treatment. Vasc Dis Ther. 2017;2(3):1-2.

Kareh AM, Xu KY. Surgical Management of Lymphedema. Sci Med. 2020;117:143-8.

Hanson SE, Chang EI, Schaverien MV, Chu C, Selber MMH. Controversies in Surgical Management of Lymphedema. Plast Reconstr Surg Glob Open. 2020;8(3)(e2671):1-7.

Sajikumar B. Case Report: Lymphedema Lower Limb-Surgical Management. J Dent Med Sci. 2019;18(7):50-2.

Mousavi SRZM. Surgical Management of Chronic Lymphedema ; Introducing an Innovative Procedure. Iran J Pediatr. 2008;18(3):257-62.

Tiwari A, Myint F, Hamilton G. Management of Lower Limb Lymphoedema in the United Kingdom. Eur J Vasc Endovasc Surg. 2006;31(3):311-5.