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

Authors

  • Nimesh Verma Department of General Surgery, Government Medical College, Surat, Gujarat, India
  • Rushabh Maisuria Department of General Surgery, Government Medical College, Surat, Gujarat, India
  • Amit Patel Department of General Surgery, Government Medical College, Surat, Gujarat, India
  • Sankhya Bhat S. Department of General Surgery, Government Medical College, Surat, Gujarat, India

DOI:

https://doi.org/10.18203/2349-2902.isj20205914

Keywords:

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

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.

Author Biography

Nimesh Verma, Department of General Surgery, Government Medical College, Surat, Gujarat, India

General surgery

Junior Resident

References

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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.

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Published

2020-12-28

Issue

Section

Case Reports