Buried Dermal Flap Operation for Chronic Lymphedema of the Extremities

Successful Treatment with Lymphaticovenular Anastomosis for Secondary Skin Lesions of Chronic Lymphedema

“…Therefore, surgical treatment should be considered in such cases. Various surgical treatments, including simple resection of bulky lesions, resection with drainage and bridging by using flaps of omentum and ileum have been reported [3,4,5,6]. Despite temporary solutions, their effectiveness is not consistent.…”

Lymphedema: From diagnosis to treatment

“…It also can require blood transfusions and lengthy wound healing. Another technique used in the past involved buried dermal flaps (33). Direct excision techniques may involve full-thickness skin grafting (FTSG) or vacuum-assisted closure therapy (2).…”

Uncommon Procedures for Lymphedema

“…He hypothesized that by burying the fl ap into the muscle he would facilitate superfi cial drainage into the deep compartment as well as prevent fi brosis/neo-fascial formation that may re-separate the superfi cial and deep systems. In 1970, Thompson reviewed his experience using the procedure on 79 limbs (56 legs, 23 arms) [ 9 ]. He found that 61 % of his patients had "good" results and 33 % had "satisfactory" outcomes; all subjects had a reduced risk of infection [ 9 ].…”

“…In 1970, Thompson reviewed his experience using the procedure on 79 limbs (56 legs, 23 arms) [ 9 ]. He found that 61 % of his patients had "good" results and 33 % had "satisfactory" outcomes; all subjects had a reduced risk of infection [ 9 ]. Patients with secondary lymphedema of the lower extremity had a greater chance of having "good" results (83 %), compared to patients with primary disease (58 %) [ 9 ].…”