Multidisciplinary approach to management of severe lymphedema with one-stage radical excision and split-thickness skin grafting: Report of two cases
| Autor: | Brent Robertson, Mark Broering, Evan Neville, Matthew Recht, William D. Tobler, Patrick Muck |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
business.industry medicine.medical_treatment One stage Fascia 030204 cardiovascular system & hematology medicine.disease Surgery body regions Radical excision 03 medical and health sciences 0302 clinical medicine medicine.anatomical_structure Lymphatic system Lymphedema Refractory Multidisciplinary approach Medicine Skin grafting 030212 general & internal medicine Cardiology and Cardiovascular Medicine business |
| Zdroj: | Journal of Vascular Surgery: Venous and Lymphatic Disorders. 8:658-661 |
| ISSN: | 2213-333X |
| Popis: | Surgical intervention for severe lymphedema is reserved for failure of conservative management. The reductive approach aims to remove fibrosclerotic tissue acquired from prolonged lymphatic stasis. One such reductive approach is the modified Charles procedure, direct circumferential excision down to fascia followed by split-thickness skin graft application. The 1-year outcomes in our patients suggest that a multidisciplinary approach to the modified Charles procedure is an effective management option for severe lymphedema refractory to conservative therapy. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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