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Long-term results in the surgical treatment of lymphedema

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Summary

In the irreversible stage of lymphedema corrective surgery is often mandatory. A choice has to be made between two different basic selective procedures. As no totally satisfactory surgical method has as yet been established surgical management is difficult and implies considerable personal responsibility. This is a report on the long-term results of operations carried out on 16 patients between 1958 and 1979 using the so called “Charles procedure”. It concludes that this radical operation gives an acceptable long-term result in long-standing, elephantiastic primary lymphedema of the lower extremity.

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References

  1. Barinka L (1967) Our experience with the treatment of lymphedema of the lower limb. Acta Chir Plast 9:218

    Google Scholar 

  2. Barinka L (1968) Employment of dermatome-super in the treatment of lower limb lymphedema. Acta Chir. Plast 10:223

    Google Scholar 

  3. Brunner U (1972) Therapie des Lymphödems der unteren Extremität. Dtsch Med J 23:395

    Google Scholar 

  4. Charles RH (1912) Elephantiasis of the leg. In: A system of treatment. Vol. 3. Latham & English, London

    Google Scholar 

  5. Clodius L, Uhlschmid G, Madritsch W (1973) Chirurgische Möglichkeiten der Lymphödembehandlung. Folia Angiol 21:304

    Google Scholar 

  6. Clodius L (1977) Lymphedema. Thieme, Stuttgart

    Google Scholar 

  7. Clodius L, Piller NB (1978) Conservative therapy for postmastectomy lymphedema. Chir Plastica (Berl) 4:193

    Google Scholar 

  8. Dellon AL, Hoopes JE (1977) The Charles procedure for primary lymphedema. Plast Reconstr Surg 60:589

    Google Scholar 

  9. Deutschmann W, Scharnagl E (1979) Die Behandlung des irreversiblen Lymphödems der unteren Extremität. Z Plast Chir 3:106

    Google Scholar 

  10. Deutschmann W, Rader W (1978) Freie und gestielte Hauttransplantate unter hyperbarer Sauerstofftherapie. Acta Chir Austriaca 3:72

    Google Scholar 

  11. Fontaine R, Fontaine JL (1969) Die operative Therapie des Lymphödems. Langenbecks Arch Klin Chir 325:89

    Google Scholar 

  12. Gibson T, Tough JS (1954) The surgical correction of chronic lymphedema of the legs. Br J Plast Surg 7:195

    Google Scholar 

  13. Hugo NE (1971) Recent advances in treatment of lymphedema. Surg Clin North Am 51:111

    Google Scholar 

  14. Macey HB (1948) A surgical procedure for lymphedema of the extremities. J Bone Joint Surg [Am] 30:339

    Google Scholar 

  15. McKee DM, Edgerton MT (1959) The surgical treatment of lymphedema of the lower extremities. Plast Reconstr Surg 23:480

    Google Scholar 

  16. Mowlem R (1948) Treatment of lymphedema. Br J Plast Surg 1:48

    Google Scholar 

  17. Nielubowicz J, Olszewski W (1968) Experimental lymphovenous anastomosis. Br J Surg 55:449

    Google Scholar 

  18. Nielubowicz J, Olszewski W, Machowski Z, Sokolowski J (1968) Surgical lympho-venous shunts in patients with secondary lymphedema. Br J Surg 55:440

    Google Scholar 

  19. Pierer H (1969) Die radikale Resektion beim chronischen Lymphödem. Langenbecks Arch Klin Chir 325:113

    Google Scholar 

  20. Sakulsky SB, Schirger A, Harrison EG Jr, Janes JM (1977) Lymphedema: Results of surgical treatment in 64 Patients (1936–1964). Lymphology 10:15

    Google Scholar 

  21. Servelle M (1971) Chirurgie der Lymphgefäße. In: Erkrankungen des Lymphsystems. Ed: Földi M, Witzstrock, Baden-Baden Brüssel

    Google Scholar 

  22. Stone EJ, Hugo NE (1972) Lymphedema. A collective review. Surg Gynecol Obstet 135:625

    Google Scholar 

  23. Thompson N (1962) Surgical treatment of chronic lymphedema of the lower limb. Br Med J II:1566

    Google Scholar 

  24. Thompson N (1967) The surgical treatment of chronic lymphedema of the extremities. Surg Clin North Am 47:445

    Google Scholar 

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Deutschmann, W., Scharnagl, E. Long-term results in the surgical treatment of lymphedema. Chir Plastica 5, 109–117 (1980). https://doi.org/10.1007/BF00270337

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