Modified Charles operation for primary fibrosclerotic lymphedema.
Identifieur interne : 00D173 ( Main/Merge ); précédent : 00D172; suivant : 00D174Modified Charles operation for primary fibrosclerotic lymphedema.
Auteurs : M E Mavili [Turquie] ; S. Naldoken ; T. SafakSource :
- Lymphology [ 0024-7766 ] ; 1994.
Descripteurs français
- KwdFr :
- MESH :
- anatomopathologie : Lymphoedème.
- Humains, Jambe, Lymphoedème, Lymphographie, Sclérose, Transplantation de peau.
English descriptors
- KwdEn :
- MESH :
- methods : Skin Transplantation.
- pathology : Lymphedema.
- surgery : Leg, Lymphedema.
- Humans, Lymphography, Sclerosis.
Abstract
Radical excision of lymphedematous tissue with skin grafting (Charles operation) may be required for patients with advanced fibrosclerotic lower extremity lymphedema. Complications of this procedure include papillomatosis, wart formation, intractable skin ulcerations and weeping of lymph and are often considered major drawbacks of the operation. We have largely circumvented these sequelae by burying a strip of shaved split-thickness skin graft into the deep subcutaneous tissue thereby modifying the Charles operation. The strip of deepithelialized skin seemingly connects the superficial dermal lymphatics with subfascial deep lymphatics thereby facilitating lymph drainage and minimizing lymphedema accumulation and the complications outlined above. We have now treated 4 patients with advanced primary fibrosclerotic lymphedema using this modified technique. Not only were the patients improved in appearance and function with less trophic changes, but lymphscintigraphy using 99mTc-dextran also suggested improved interstitial tracer transport.
PubMed: 8207967
Links toward previous steps (curation, corpus...)
- to stream PubMed, to step Corpus: 005577
- to stream PubMed, to step Curation: 005577
- to stream PubMed, to step Checkpoint: 005577
- to stream Ncbi, to step Merge: 00B466
- to stream Ncbi, to step Curation: 00B466
- to stream Ncbi, to step Checkpoint: 00B466
Links to Exploration step
pubmed:8207967Le document en format XML
<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Modified Charles operation for primary fibrosclerotic lymphedema.</title>
<author><name sortKey="Mavili, M E" sort="Mavili, M E" uniqKey="Mavili M" first="M E" last="Mavili">M E Mavili</name>
<affiliation wicri:level="1"><nlm:affiliation>Department of Plastic and Reconstructive Surgery, Hacettepe University, Faculty of Medicine, Ankara, Turkey.</nlm:affiliation>
<country xml:lang="fr">Turquie</country>
<wicri:regionArea>Department of Plastic and Reconstructive Surgery, Hacettepe University, Faculty of Medicine, Ankara</wicri:regionArea>
<wicri:noRegion>Ankara</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Naldoken, S" sort="Naldoken, S" uniqKey="Naldoken S" first="S" last="Naldoken">S. Naldoken</name>
</author>
<author><name sortKey="Safak, T" sort="Safak, T" uniqKey="Safak T" first="T" last="Safak">T. Safak</name>
</author>
</titleStmt>
<publicationStmt><idno type="wicri:source">PubMed</idno>
<date when="1994">1994</date>
<idno type="RBID">pubmed:8207967</idno>
<idno type="pmid">8207967</idno>
<idno type="wicri:Area/PubMed/Corpus">005577</idno>
<idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Corpus" wicri:corpus="PubMed">005577</idno>
<idno type="wicri:Area/PubMed/Curation">005577</idno>
<idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Curation">005577</idno>
<idno type="wicri:Area/PubMed/Checkpoint">005577</idno>
<idno type="wicri:explorRef" wicri:stream="Checkpoint" wicri:step="PubMed">005577</idno>
<idno type="wicri:Area/Ncbi/Merge">00B466</idno>
<idno type="wicri:Area/Ncbi/Curation">00B466</idno>
<idno type="wicri:Area/Ncbi/Checkpoint">00B466</idno>
<idno type="wicri:doubleKey">0024-7766:1994:Mavili M:modified:charles:operation</idno>
<idno type="wicri:Area/Main/Merge">00D173</idno>
</publicationStmt>
<sourceDesc><biblStruct><analytic><title xml:lang="en">Modified Charles operation for primary fibrosclerotic lymphedema.</title>
<author><name sortKey="Mavili, M E" sort="Mavili, M E" uniqKey="Mavili M" first="M E" last="Mavili">M E Mavili</name>
<affiliation wicri:level="1"><nlm:affiliation>Department of Plastic and Reconstructive Surgery, Hacettepe University, Faculty of Medicine, Ankara, Turkey.</nlm:affiliation>
<country xml:lang="fr">Turquie</country>
<wicri:regionArea>Department of Plastic and Reconstructive Surgery, Hacettepe University, Faculty of Medicine, Ankara</wicri:regionArea>
<wicri:noRegion>Ankara</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Naldoken, S" sort="Naldoken, S" uniqKey="Naldoken S" first="S" last="Naldoken">S. Naldoken</name>
</author>
<author><name sortKey="Safak, T" sort="Safak, T" uniqKey="Safak T" first="T" last="Safak">T. Safak</name>
</author>
</analytic>
<series><title level="j">Lymphology</title>
<idno type="ISSN">0024-7766</idno>
<imprint><date when="1994" type="published">1994</date>
</imprint>
</series>
</biblStruct>
</sourceDesc>
</fileDesc>
<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Humans</term>
<term>Leg (surgery)</term>
<term>Lymphedema (pathology)</term>
<term>Lymphedema (surgery)</term>
<term>Lymphography</term>
<term>Sclerosis</term>
<term>Skin Transplantation (methods)</term>
</keywords>
<keywords scheme="KwdFr" xml:lang="fr"><term>Humains</term>
<term>Jambe ()</term>
<term>Lymphoedème ()</term>
<term>Lymphoedème (anatomopathologie)</term>
<term>Lymphographie</term>
<term>Sclérose</term>
<term>Transplantation de peau ()</term>
</keywords>
<keywords scheme="MESH" qualifier="anatomopathologie" xml:lang="fr"><term>Lymphoedème</term>
</keywords>
<keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Skin Transplantation</term>
</keywords>
<keywords scheme="MESH" qualifier="pathology" xml:lang="en"><term>Lymphedema</term>
</keywords>
<keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Leg</term>
<term>Lymphedema</term>
</keywords>
<keywords scheme="MESH" xml:lang="en"><term>Humans</term>
<term>Lymphography</term>
<term>Sclerosis</term>
</keywords>
<keywords scheme="MESH" xml:lang="fr"><term>Humains</term>
<term>Jambe</term>
<term>Lymphoedème</term>
<term>Lymphographie</term>
<term>Sclérose</term>
<term>Transplantation de peau</term>
</keywords>
</textClass>
</profileDesc>
</teiHeader>
<front><div type="abstract" xml:lang="en">Radical excision of lymphedematous tissue with skin grafting (Charles operation) may be required for patients with advanced fibrosclerotic lower extremity lymphedema. Complications of this procedure include papillomatosis, wart formation, intractable skin ulcerations and weeping of lymph and are often considered major drawbacks of the operation. We have largely circumvented these sequelae by burying a strip of shaved split-thickness skin graft into the deep subcutaneous tissue thereby modifying the Charles operation. The strip of deepithelialized skin seemingly connects the superficial dermal lymphatics with subfascial deep lymphatics thereby facilitating lymph drainage and minimizing lymphedema accumulation and the complications outlined above. We have now treated 4 patients with advanced primary fibrosclerotic lymphedema using this modified technique. Not only were the patients improved in appearance and function with less trophic changes, but lymphscintigraphy using 99mTc-dextran also suggested improved interstitial tracer transport.</div>
</front>
</TEI>
</record>
Pour manipuler ce document sous Unix (Dilib)
EXPLOR_STEP=$WICRI_ROOT/Wicri/Sante/explor/LymphedemaV1/Data/Main/Merge
HfdSelect -h $EXPLOR_STEP/biblio.hfd -nk 00D173 | SxmlIndent | more
Ou
HfdSelect -h $EXPLOR_AREA/Data/Main/Merge/biblio.hfd -nk 00D173 | SxmlIndent | more
Pour mettre un lien sur cette page dans le réseau Wicri
{{Explor lien |wiki= Wicri/Sante |area= LymphedemaV1 |flux= Main |étape= Merge |type= RBID |clé= pubmed:8207967 |texte= Modified Charles operation for primary fibrosclerotic lymphedema. }}
Pour générer des pages wiki
HfdIndexSelect -h $EXPLOR_AREA/Data/Main/Merge/RBID.i -Sk "pubmed:8207967" \ | HfdSelect -Kh $EXPLOR_AREA/Data/Main/Merge/biblio.hfd \ | NlmPubMed2Wicri -a LymphedemaV1
![]() | This area was generated with Dilib version V0.6.31. | ![]() |