A clinical study of the reductive surgery an effective option for the treatment of advanced lower limb lymphedema | ||||
| The Egyptian Journal of Surgery | ||||
| Volume 43, Issue 3, July 2024, Page 644-649 PDF (563 K) | ||||
| Document Type: Original Article | ||||
| DOI: 10.10.21608/EJSUR.2024.357110 | ||||
 View on SCiNiTO | ||||
| Authors | ||||
| Nasr Al-Qadasi* ; Yehia A. Syaghi; Raddad Al-Fakih | ||||
| Department of General Surgery, Faculty of Medicine, Sanaa University, Sanaa, Yemen | ||||
| Abstract | ||||
| Introduction: An advanced form of lymphedema is called elephantiasis. It is a clinically difficult impairment that lowers one’s quality of life. There are very few good surgical treatments, and medical care and other conservative therapies are rarely helpful. We evaluated the clinical effectiveness of reduction surgery in this study using a Charles technique modification. Patients and Methods: We present two cases of lower extremity advanced lymphedema that were treated by removing the affected tissues with deep fascial excision up to the muscles and meshed split-thickness graft resurfacing from the excised tissue was done immediately. Followed by decongestive lymphatic therapy, which includes skin care, hygiene, mobilization, and compressive pressure garments. Results: Primary healing was an eventful process, and the surgical therapy was well accepted. The leg’s mobility and function both significantly improved, yielding extremely pleasing cosmetic outcomes. Conclusion: Reduction of advanced lymphedema is necessary to lessen the severe handicap and enhance the uncomfortable circumstances of these individuals. Reduction surgery can significantly enhance the quality of life and lower the condition’s morbidity when combined with proper post-operative care. | ||||
| Keywords | ||||
| Compression; elephantiasis; garment; lymphedema; reductive surgery | ||||
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