LymphedemaV1, Main, Merge, bibRecord, 00D173

Modified Charles operation for primary fibrosclerotic lymphedema.

Identifieur interne : 00D173 ( Main/Merge ); précédent : 00D172; suivant : 00D174

Modified Charles operation for primary fibrosclerotic lymphedema.

Auteurs : M E Mavili [Turquie] ; S. Naldoken ; T. Safak

Source :

Lymphology [ 0024-7766 ] ; 1994.

RBID : pubmed:8207967

Descripteurs français

KwdFr :
- Humains, Jambe (), Lymphoedème (), Lymphoedème (anatomopathologie), Lymphographie, Sclérose, Transplantation de peau ().
MESH :
- anatomopathologie : Lymphoedème.
- Humains, Jambe, Lymphoedème, Lymphographie, Sclérose, Transplantation de peau.

English descriptors

KwdEn :
- Humans, Leg (surgery), Lymphedema (pathology), Lymphedema (surgery), Lymphography, Sclerosis, Skin Transplantation (methods).
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

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pubmed:8207967

Le document en format XML

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<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>
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</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>
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<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>
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<author><name sortKey="Naldoken, S" sort="Naldoken, S" uniqKey="Naldoken S" first="S" last="Naldoken">S. Naldoken</name>
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<author><name sortKey="Safak, T" sort="Safak, T" uniqKey="Safak T" first="T" last="Safak">T. Safak</name>
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<series><title level="j">Lymphology</title>
<idno type="ISSN">0024-7766</idno>
<imprint><date when="1994" type="published">1994</date>
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<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>

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Modified Charles operation for primary fibrosclerotic lymphedema.

Modified Charles operation for primary fibrosclerotic lymphedema.

Source :

Descripteurs français

English descriptors

Abstract

Links toward previous steps (curation, corpus...)

Links to Exploration step

Le document en format XML

Pour manipuler ce document sous Unix (Dilib)

Pour mettre un lien sur cette page dans le réseau Wicri

Pour générer des pages wiki