International journal of surgery case reports · 2024
Staged surgical management of advanced leg lymphedema: A successful Charles procedure in a resource-limited setting, case report.
Клинический случайСтатьяНазвание и аннотация: Перевод пока не подготовлен
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Gebremariyam Zenebe Teklu, Woldemichael Nebiyat Abadi
Аннотация
INTRODUCTION: Lymphedema, marked by localized tissue swelling, poses a worldwide challenge. In sub-Saharan Africa, where patients often present in advanced stages, resectional techniques such as the Charles procedure become the sole option. This case report illustrate the staged surgical approach to address extensive lower limb lymphedema through the utilization of the Charles procedure.
CASE PRESENTATION: A 38-year-old female with a 20-year history of right leg lymphedema underwent a three-stage surgical plan. The first stage involved partial excision of lymphedema mass, the second stage focused on debulking of the rest of the mass and skin advancement, and the third stage comprised a meshed split-thickness skin graft. Despite complications, including necrosis and infection, the patient was discharged after 60 days with significant improvement in quality of life.
DISCUSSION: In resource-constrained settings, strategic staging and careful perioperative planning are vital for mitigating risks. The presented case underscores the successful utilization of the Charles procedure in sub-Saharan Africa, addressing advanced lymphedema and improving patient outcomes.
CONCLUSION: The Charles procedure, despite its risks, proves to be a viable option for advanced lymphedema in regions with limited resources. Meticulous staging and perioperative planning play a pivotal role in achieving positive outcomes, enhancing the quality of life for patients in resource-constrained settings.
CASE PRESENTATION: A 38-year-old female with a 20-year history of right leg lymphedema underwent a three-stage surgical plan. The first stage involved partial excision of lymphedema mass, the second stage focused on debulking of the rest of the mass and skin advancement, and the third stage comprised a meshed split-thickness skin graft. Despite complications, including necrosis and infection, the patient was discharged after 60 days with significant improvement in quality of life.
DISCUSSION: In resource-constrained settings, strategic staging and careful perioperative planning are vital for mitigating risks. The presented case underscores the successful utilization of the Charles procedure in sub-Saharan Africa, addressing advanced lymphedema and improving patient outcomes.
CONCLUSION: The Charles procedure, despite its risks, proves to be a viable option for advanced lymphedema in regions with limited resources. Meticulous staging and perioperative planning play a pivotal role in achieving positive outcomes, enhancing the quality of life for patients in resource-constrained settings.