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Optimizing outcome of charles procedure for chronic lower extremity lymphoedema.

Authors
Karri, V; Yang, MC; Lee, IJ; Chen, SH; Hong, JP; Xu, ES; Cruz-Vargas, J; Chen, HC
Citation
Annals of plastic surgery, 66(4):393-402, 2011
Journal Title
Annals of plastic surgery
ISSN
0148-70431536-3708
Abstract
BACKGROUND: The Charles procedure for late-stage lower limb lymphoedema (LLL) is often criticized for its unpredictable and poor results. We have adopted a systematic approach to optimize outcome of patients treated with this excisional surgery.



METHODS: From June 2004 to March 2009 we performed the Charles procedure on 1 lower limb of 19 women and 8 men with late-stage LLL. Mean age and follow-up was 48 (range, 16.5-77.8) years and 21.6 (range, 1.5-48) months, respectively.



RESULTS: Average inpatient stay was 27 (range, 11-54) days. After discharge, 16 (59.3%) patients underwent further minor surgery. The most frequent complication was a single, short episode of cellulitis, affecting 5 (18.5%) patients. Self-reported mobility was either the same or improved at 6 months, and appearance of their limbs satisfactory.



CONCLUSIONS: The Charles procedure is an effective treatment for selected patients and by applying our systematic approach, a positive outcome can be achieved.
MeSH terms
AdolescentAdultAgedFemaleFollow-Up StudiesHumansLeg/pathology/*surgeryLymphedema/pathology/*surgeryMaleMiddle AgedReconstructive Surgical Procedures/*methodsRecovery of FunctionRetrospective StudiesRisk Factors*Skin Transplantation*Surgical FlapsTaiwanTreatment OutcomeYoung Adult
DOI
10.1097/SAP.0b013e3181d6e45e
PMID
21042186
Appears in Collections:
Journal Papers > School of Medicine / Graduate School of Medicine > Plastic & Reconstructive Surgery
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