Abstract
The debulking surgical procedure in lymphatic filariasis – lymphedema – is carried out in grade IV lymphedemas with nodules, warty growths, and ulcers. The basic principles in lymphedema surgery are (a) augment the lymphatic drainage using a physiological procedure, and (b) reduce the lymphatic load by debulking the lymphedematous, lymph-producing surface. In this chapter, we will be talking about our strategy for lymphedema surgery, followed by a review of the existing forms of debulking surgery.1-16
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References
Miller TA. Charles procedure for lymphoedema: a warning. Am J Surg. 1980;139(2):290-292.
Dumanian GA, Futrell JW. Radical excision and delayed reconstruction of a lymphoedematous leg with a 15 year follow-up. Lymphology. 1996;29(1):20-24.
Revis Don R Jr. Lymphedema: treatment. http://www.lymphedemapeople.com.
Silkie. Complications of the Thompson’s procedure. www.Lymphoedemapeople.com/wiki
Kondoleon E. Die Operative Behandlung der elephantiastichen Oedeme. Zentralbl Chir. 1912;39:1022.
Servelle M. Surgical treatment of lymphedema: a report on 652 cases. Surgery. 1987;101:484.
Sawhney CP. Evaluation of Thompson’s buried dermal flap operation for lymphoedema of the limbs: a clinical and radioisotopic study. Br J Plast Surg. 1974;27:278-283.
Lee BB, Kim DI, Whang JH, Lee KW. Contemporary management of chronic lymphedema – personal experiences. Lymphology. 2002;35(Suppl):450-455.
Huh SH, Kim DI, Hwang JH, Lee BB. Excisional surgery in chronic advanced lymphedema. Surg Today. 2003;34:434-435.
Lee BB. Surgical management of lymphedema. In: Tredbar, Morgan, Lee, Simonian, Blondeau, eds. Lymphedema—Diagnosis and Treatment. London: Springer; 2008:55-63, chap 6.
Lee BB, Kim YW, Kim DI, Hwang JH, Laredo J, Neville R. Supplemental surgical treatment to end stage (stage IV –V) of chronic lymphedema. Int Angiol. 2008;27(5):389-395.
Auchincloss H. New operation for elephantiasis. Puert Rico J Publ Health Trop Med. 1930;6:149.
Dellon Al, Hoopes JE. The Charles procedure for primary lymphedema. Plast Reconstr Surg. 1977;60:589.
Homans J. The treatment of elephantiasis of the legs. N Engl J Med. 1936;215:1099.
Kim DI, Huh S, Lee SJ, Hwang JH, Kim YI, Lee BB. Excision of subcutaneous tissue and deep muscle fascia for advanced lymphedema. Lymphology. 1998;31:190-194.
Sistrunk WE. Further experiences with the Kondoleon operation for elephantiasis. JAMA. 1918;71:800.
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Manokaran, G. (2011). General Principles. In: Lee, BB., Bergan, J., Rockson, S. (eds) Lymphedema. Springer, London. https://doi.org/10.1007/978-0-85729-567-5_48
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DOI: https://doi.org/10.1007/978-0-85729-567-5_48
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