Modified Charles operation for primary fibrosclerotic lymphedema.
Identifieur interne : 005577 ( PubMed/Curation ); précédent : 005576; suivant : 005578Modified 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
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pubmed:8207967Le 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>
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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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<series><title level="j">Lymphology</title>
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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>
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<keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Leg</term>
<term>Lymphedema</term>
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<keywords scheme="MESH" xml:lang="en"><term>Humans</term>
<term>Lymphography</term>
<term>Sclerosis</term>
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<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>
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<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>
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<DateRevised><Year>2006</Year>
<Month>11</Month>
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<Title>Lymphology</Title>
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<ArticleTitle>Modified Charles operation for primary fibrosclerotic lymphedema.</ArticleTitle>
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<Abstract><AbstractText>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.</AbstractText>
</Abstract>
<AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Mavili</LastName>
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<Initials>ME</Initials>
<AffiliationInfo><Affiliation>Department of Plastic and Reconstructive Surgery, Hacettepe University, Faculty of Medicine, Ankara, Turkey.</Affiliation>
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