Abstract
Over the last 200 years, not to mention in more ancient times, the Charles procedure, the buried dermal flap, and the staged subcutaneous excision beneath flaps were the main surgical options for advanced stages of lymphedema of the lower limbs.1-11 Classic operations such as total denuding of the limb down to the fascia and covering with epidermal grafts turned out to be unsatisfactory because of acute infections of the remaining foot skin, epidermal ulcerations, and plasma leakage from the uncovered surfaces. So far, the subcutaneous excision beneath skin flaps has offered the most reliable and consistently beneficial means of surgically decreasing the size of a limb and controlling recurrences of infective episodes, as shown in Fig. 47.1.
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References
Charles RH. Elephantiasis scroti. In: Latham A, English TC, eds. A System of Treatment, vol. 3. London: Churchill; 1912.
Dellon AL, Hoopes JE. The Charles procedure for primary lymphedema. Plast Reconstr Surg. 1977;60:589.
Mavili ME, Naldoken S, Safak T. Modified Charles operation for primary fibrosclerotic lymphedema. Lymphology. 1994;14:20.
Kim DI, Huh S, Lee SJ, Lee BB. Excision of subcutaneous tissue and deep muscle fascia for advanced lymphedema. Lymphology. 1998;31:190-194.
Kondoleon E. Ultimate results of Kondoleon operation for elephantiasis. Arch Fr Belg Chir. 1924;27:104.
Sistrunk WE. Experiences with the Kondoleon operation for elephantiasis. JAMA. 1918;71:800.
Savage RC. The surgical management of lymphedema. Surg Gynecol Obstet. 1985;160:283-290.
Kobayashi MR, Miller TA. Lymphedema. Clin Plast Surg. 1987;14:303-313.
Miller TA, Wyatt LE, Rudkin GH. Staged skin and subcutaneous excision for lymphedema: a favorable report of long-term results. Plast Reconstr Surg. 1998;102:1486-1498.
van der Walt JC, Perks TJ, Zeeman BJ, Bruce-Chwatt AJ, Graewe FR. Modified Charles procedure using negative pressure dressings for primary lymphedema: a functional assessment. Ann Plast Surg. 2009;62:669-675.
Campbell W, Harkin DW. Surgical debulking in a case of chronic lymphoedema. Ir J Med Sci. 2009;178:227-229.
Olszewski WL, Jamal S, Manokaran G, et al. Bacteriologic studies of skin, tissue fluid, lymph, and lymph nodes in patients with filarial lymphedema. Am J Trop Med Hyg. 1997;57:7-15.
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Olszewski, W.L. (2011). Historical Background – General Overview. In: Lee, BB., Bergan, J., Rockson, S. (eds) Lymphedema. Springer, London. https://doi.org/10.1007/978-0-85729-567-5_47
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DOI: https://doi.org/10.1007/978-0-85729-567-5_47
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