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Omental flap for treatment of long standing lymphoedema of the lower limb: can it end the suffering? Report of four cases with review of literatures.

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Omental flap for treatment of long standing lymphoedema of the lower limb: can it end the suffering? Report of four cases with review of literatures.

Auteurs : Saad Muwafaq Attash [Iraq] ; Mohammad Yaseen Al-Sheikh

Source :

RBID : pubmed:23396936

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English descriptors

Abstract

We report our experience of four cases of long-standing unilateral, secondary lymphoedema of the lower limb, for which conservative treatment has failed, that were treated in our centre using pedicled omental flap. The four patients were followed for a period of 1 year after the procedures and frequent measurements of the circumference of the affected limb revealed a reduction in the circumference ranging between 50% in the first patient to 75% in the fourth patient together with an excellent functional improvement in terms of resuming walking, daily activities, sports and work. We think that pedicled omental flap is an important, relatively easy and safe option that deserves consideration in refractory cases of lymphoedema of the lower limb.

DOI: 10.1136/bcr-2012-008463
PubMed: 23396936

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<nlm:affiliation>Department of Surgery, Ninava Medical College, Mosul University, Mosul, Iraq. drsaad1997@yahoo.com</nlm:affiliation>
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<name sortKey="Al Sheikh, Mohammad Yaseen" sort="Al Sheikh, Mohammad Yaseen" uniqKey="Al Sheikh M" first="Mohammad Yaseen" last="Al-Sheikh">Mohammad Yaseen Al-Sheikh</name>
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<RefSource>Ann Surg. 2002 Jun;235(6):782-95</RefSource>
<PMID Version="1">12035034</PMID>
</CommentsCorrections>
<CommentsCorrections RefType="Cites">
<RefSource>Arch Surg. 2003 Feb;138(2):152-61</RefSource>
<PMID Version="1">12578410</PMID>
</CommentsCorrections>
<CommentsCorrections RefType="Cites">
<RefSource>Surg Clin North Am. 1967 Apr;47(2):445-503</RefSource>
<PMID Version="1">6022236</PMID>
</CommentsCorrections>
<CommentsCorrections RefType="Cites">
<RefSource>Surg Gynecol Obstet. 1972 Jul;135(1):103-7</RefSource>
<PMID Version="1">5032625</PMID>
</CommentsCorrections>
<CommentsCorrections RefType="Cites">
<RefSource>Br J Plast Surg. 1976 Apr;29(2):170-44</RefSource>
<PMID Version="1">1276525</PMID>
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<CommentsCorrections RefType="Cites">
<RefSource>Surg Gynecol Obstet. 1976 Jul;143(1):105-6</RefSource>
<PMID Version="1">936042</PMID>
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<CommentsCorrections RefType="Cites">
<RefSource>Ann Vasc Surg. 1990 May;4(3):255-9</RefSource>
<PMID Version="1">2340247</PMID>
</CommentsCorrections>
<CommentsCorrections RefType="Cites">
<RefSource>J Mal Vasc. 1990;15(2):163-9</RefSource>
<PMID Version="1">2193082</PMID>
</CommentsCorrections>
<CommentsCorrections RefType="Cites">
<RefSource>J Clin Oncol. 1992 Apr;10(4):614-23</RefSource>
<PMID Version="1">1548524</PMID>
</CommentsCorrections>
<CommentsCorrections RefType="Cites">
<RefSource>Clin Nucl Med. 1993 Aug;18(8):646-54</RefSource>
<PMID Version="1">8403693</PMID>
</CommentsCorrections>
<CommentsCorrections RefType="Cites">
<RefSource>J Vasc Surg. 1993 Nov;18(5):773-82</RefSource>
<PMID Version="1">8230563</PMID>
</CommentsCorrections>
<CommentsCorrections RefType="Cites">
<RefSource>Arch Surg. 1995 Jan;130(1):43-7</RefSource>
<PMID Version="1">7802575</PMID>
</CommentsCorrections>
<CommentsCorrections RefType="Cites">
<RefSource>Ann Surg Oncol. 2005 Oct;12(10):793-9</RefSource>
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