Modified charles’ procedure and its combination with lymph node flap transfer for advanced lymphedema

Michele Maruccia, Hung Chi Chen*, Shih Heng Chen

*Corresponding author for this work

Research output: Chapter in Book/Report/Conference proceedingChapterpeer-review

3 Scopus citations

Abstract

A variety of excisional procedures have been described for advanced lymphedema. Charles’ Procedure is a surgical treatment of limb lymphedema. In this procedure, the lymphedematous tissue is radically excised, and the limb is covered with skin grafts harvested from the surgical specimen. Even though successful outcomes after Charles’ procedure have been reported, potential complications of the procedure are the recurrence of the lymphedema especially at the foot necessitating regrafting and toes amputation, and poor cosmetic result. To prevent this complication, the modified Charles’ procedure with lymph node flap is described in the advanced lymphedema.

Original languageEnglish
Title of host publicationLymphedema
Subtitle of host publicationPresentation, Diagnosis, and Treatment
PublisherSpringer International Publishing
Pages289-300
Number of pages12
ISBN (Electronic)9783319144931
ISBN (Print)9783319144924
DOIs
StatePublished - 01 01 2015
Externally publishedYes

Bibliographical note

Publisher Copyright:
© 2015, Springer International Publishing Switzerland.

Keywords

  • Excisional therapy
  • Lymph node transfer
  • Modified charles’ procedure
  • Surgical treatment

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