Simultaneous bilateral submental lymph node flaps for lower limb lymphedema post leg charles procedure

Ran Ito, Miffy Chia Yu Lin, Ming Huei Cheng

Research output: Contribution to journalJournal Article peer-review

8 Scopus citations


We summarize the case of a 59-year-old woman with left lower limb lymphedema for 4 years post hysterectomy, pelvic lymph node dissection, radiation therapy, and chemotherapy for endometrial cancer. She underwent the Charles procedure on her left leg 2 years before being referred to our hospital and developed several cellulitis episodes and progressive lymphedema affecting her left toes and thigh. Bilateral vascularized submental lymph node flaps were transferred to her left ankle and thigh, respectively. After a 5-month follow-up, the leg became softer and lighter without relapsing cellulites, and the circumferential reduction rates at 15 cm above knee, 15 cm below knee, and 10 cm above ankle were 23.3%, 50%, and 22.2%, respectively. The patient was satisfied with the functional recovery and discontinued use of compression garment postoperatively.

Original languageEnglish
Article numbere513
JournalPlastic and Reconstructive Surgery - Global Open
Issue number9
StatePublished - 2015

Bibliographical note

Publisher Copyright:
Copyright © 2015 The Authors. Published by Wolters Kluwer Health, Inc. on behalf of The American Society of Plastic Surgeons. All rights reserved.


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