Twenty years experience of the buried dermis flap operation in the treatment of chronic lymphoedema of the extremities

Thompson, N. ; Wee, J. T. K.
Springer
Published 1980
ISSN:
1435-0130
Keywords:
Chronic lymphoedema ; Buried dermis flap ; Late results
Source:
Springer Online Journal Archives 1860-2000
Topics:
Medicine
Notes:
Summary Existing methods for the treatment of chronic lymphoedema of the extremities by surgery, are briefly reviewed. The results of 20 years experience using the buried dermis flap are presented, as applied to 140 patients, affecting 102 lower limbs and 49 upper. The need for prolonged follow-up is stressed. In the lower limb 88 limbs affected by primary lymphoedema resulted in 51% good results and 32% significantly improved; the corresponding figures in 14 limbs with secondary lymphoedema were 57% and 14%. — In the upper limb, of 49 arms treated, good results were obtained in 61% and significant improvement in 18%. In all cases treated, recurrent attacks of cellulitis were reduced or abolished in the majority. Complications to operation are discussed; the commonest is localised skin flap necrosis, occuring in almost half the cases treated, but requiring formal reoperation and skin grafting in only a minority. — Evidence is submitted that the long-term results obtained, taken into consideration together with the cosmetic values and relative simplicity of the operation, makes it the procedure of choice in the surgical management of this condition.
Type of Medium:
Electronic Resource
URL:
_version_ 1798296142408056832
autor Thompson, N.
Wee, J. T. K.
autorsonst Thompson, N.
Wee, J. T. K.
book_url http://dx.doi.org/10.1007/BF00264785
datenlieferant nat_lic_papers
hauptsatz hsatz_simple
identnr NLM202591638
issn 1435-0130
journal_name European journal of plastic surgery
materialart 1
notes Summary Existing methods for the treatment of chronic lymphoedema of the extremities by surgery, are briefly reviewed. The results of 20 years experience using the buried dermis flap are presented, as applied to 140 patients, affecting 102 lower limbs and 49 upper. The need for prolonged follow-up is stressed. In the lower limb 88 limbs affected by primary lymphoedema resulted in 51% good results and 32% significantly improved; the corresponding figures in 14 limbs with secondary lymphoedema were 57% and 14%. — In the upper limb, of 49 arms treated, good results were obtained in 61% and significant improvement in 18%. In all cases treated, recurrent attacks of cellulitis were reduced or abolished in the majority. Complications to operation are discussed; the commonest is localised skin flap necrosis, occuring in almost half the cases treated, but requiring formal reoperation and skin grafting in only a minority. — Evidence is submitted that the long-term results obtained, taken into consideration together with the cosmetic values and relative simplicity of the operation, makes it the procedure of choice in the surgical management of this condition.
package_name Springer
publikationsjahr_anzeige 1980
publikationsjahr_facette 1980
publikationsjahr_intervall 8019:1980-1984
publikationsjahr_sort 1980
publisher Springer
reference 5 (1980), S. 147-161
schlagwort Chronic lymphoedema
Buried dermis flap
Late results
search_space articles
shingle_author_1 Thompson, N.
Wee, J. T. K.
shingle_author_2 Thompson, N.
Wee, J. T. K.
shingle_author_3 Thompson, N.
Wee, J. T. K.
shingle_author_4 Thompson, N.
Wee, J. T. K.
shingle_catch_all_1 Thompson, N.
Wee, J. T. K.
Twenty years experience of the buried dermis flap operation in the treatment of chronic lymphoedema of the extremities
Chronic lymphoedema
Buried dermis flap
Late results
Chronic lymphoedema
Buried dermis flap
Late results
Summary Existing methods for the treatment of chronic lymphoedema of the extremities by surgery, are briefly reviewed. The results of 20 years experience using the buried dermis flap are presented, as applied to 140 patients, affecting 102 lower limbs and 49 upper. The need for prolonged follow-up is stressed. In the lower limb 88 limbs affected by primary lymphoedema resulted in 51% good results and 32% significantly improved; the corresponding figures in 14 limbs with secondary lymphoedema were 57% and 14%. — In the upper limb, of 49 arms treated, good results were obtained in 61% and significant improvement in 18%. In all cases treated, recurrent attacks of cellulitis were reduced or abolished in the majority. Complications to operation are discussed; the commonest is localised skin flap necrosis, occuring in almost half the cases treated, but requiring formal reoperation and skin grafting in only a minority. — Evidence is submitted that the long-term results obtained, taken into consideration together with the cosmetic values and relative simplicity of the operation, makes it the procedure of choice in the surgical management of this condition.
1435-0130
14350130
Springer
shingle_catch_all_2 Thompson, N.
Wee, J. T. K.
Twenty years experience of the buried dermis flap operation in the treatment of chronic lymphoedema of the extremities
Chronic lymphoedema
Buried dermis flap
Late results
Chronic lymphoedema
Buried dermis flap
Late results
Summary Existing methods for the treatment of chronic lymphoedema of the extremities by surgery, are briefly reviewed. The results of 20 years experience using the buried dermis flap are presented, as applied to 140 patients, affecting 102 lower limbs and 49 upper. The need for prolonged follow-up is stressed. In the lower limb 88 limbs affected by primary lymphoedema resulted in 51% good results and 32% significantly improved; the corresponding figures in 14 limbs with secondary lymphoedema were 57% and 14%. — In the upper limb, of 49 arms treated, good results were obtained in 61% and significant improvement in 18%. In all cases treated, recurrent attacks of cellulitis were reduced or abolished in the majority. Complications to operation are discussed; the commonest is localised skin flap necrosis, occuring in almost half the cases treated, but requiring formal reoperation and skin grafting in only a minority. — Evidence is submitted that the long-term results obtained, taken into consideration together with the cosmetic values and relative simplicity of the operation, makes it the procedure of choice in the surgical management of this condition.
1435-0130
14350130
Springer
shingle_catch_all_3 Thompson, N.
Wee, J. T. K.
Twenty years experience of the buried dermis flap operation in the treatment of chronic lymphoedema of the extremities
Chronic lymphoedema
Buried dermis flap
Late results
Chronic lymphoedema
Buried dermis flap
Late results
Summary Existing methods for the treatment of chronic lymphoedema of the extremities by surgery, are briefly reviewed. The results of 20 years experience using the buried dermis flap are presented, as applied to 140 patients, affecting 102 lower limbs and 49 upper. The need for prolonged follow-up is stressed. In the lower limb 88 limbs affected by primary lymphoedema resulted in 51% good results and 32% significantly improved; the corresponding figures in 14 limbs with secondary lymphoedema were 57% and 14%. — In the upper limb, of 49 arms treated, good results were obtained in 61% and significant improvement in 18%. In all cases treated, recurrent attacks of cellulitis were reduced or abolished in the majority. Complications to operation are discussed; the commonest is localised skin flap necrosis, occuring in almost half the cases treated, but requiring formal reoperation and skin grafting in only a minority. — Evidence is submitted that the long-term results obtained, taken into consideration together with the cosmetic values and relative simplicity of the operation, makes it the procedure of choice in the surgical management of this condition.
1435-0130
14350130
Springer
shingle_catch_all_4 Thompson, N.
Wee, J. T. K.
Twenty years experience of the buried dermis flap operation in the treatment of chronic lymphoedema of the extremities
Chronic lymphoedema
Buried dermis flap
Late results
Chronic lymphoedema
Buried dermis flap
Late results
Summary Existing methods for the treatment of chronic lymphoedema of the extremities by surgery, are briefly reviewed. The results of 20 years experience using the buried dermis flap are presented, as applied to 140 patients, affecting 102 lower limbs and 49 upper. The need for prolonged follow-up is stressed. In the lower limb 88 limbs affected by primary lymphoedema resulted in 51% good results and 32% significantly improved; the corresponding figures in 14 limbs with secondary lymphoedema were 57% and 14%. — In the upper limb, of 49 arms treated, good results were obtained in 61% and significant improvement in 18%. In all cases treated, recurrent attacks of cellulitis were reduced or abolished in the majority. Complications to operation are discussed; the commonest is localised skin flap necrosis, occuring in almost half the cases treated, but requiring formal reoperation and skin grafting in only a minority. — Evidence is submitted that the long-term results obtained, taken into consideration together with the cosmetic values and relative simplicity of the operation, makes it the procedure of choice in the surgical management of this condition.
1435-0130
14350130
Springer
shingle_title_1 Twenty years experience of the buried dermis flap operation in the treatment of chronic lymphoedema of the extremities
shingle_title_2 Twenty years experience of the buried dermis flap operation in the treatment of chronic lymphoedema of the extremities
shingle_title_3 Twenty years experience of the buried dermis flap operation in the treatment of chronic lymphoedema of the extremities
shingle_title_4 Twenty years experience of the buried dermis flap operation in the treatment of chronic lymphoedema of the extremities
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timestamp 2024-05-06T09:47:23.993Z
titel Twenty years experience of the buried dermis flap operation in the treatment of chronic lymphoedema of the extremities
titel_suche Twenty years experience of the buried dermis flap operation in the treatment of chronic lymphoedema of the extremities
topic WW-YZ
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