Surgical reduction of scrotal massive localized lymphedema (MLL) in obesity

Machol, Jacques A.; Langenstroer, Peter; Sanger, James R.

doi:10.1016/j.bjps.2014.07.031

Cited by 28 publications

(19 citation statements)

References 34 publications

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“…2 Outside of this series, our literature search revealed very few reported cases of MLL. [3][4][5][6][7][8][9] In this article, we present the largest case series of MLL published to date, which includes the most severe case recorded to date at 61 kg (134 lbs).…”

Section: Discussionmentioning

confidence: 99%

Reconstruction of Massive Localized Lymphedema of the Scrotum: Results, Complications, and Quality of Life Improvements

Wisenbaugh

Moskowitz

Gelman

2018

Urology

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Surgical treatment of MLL of the scrotum can be performed successfully for masses even up to 61 kg (134 lbs). Short-term wound complications are common, but subjective QOL scores improve dramatically. Despite expectations, most patients gained weight after mass removal, which indicates that they would benefit from a comprehensive weight loss plan that includes, but is not limited to, scrotal surgery.

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Section: Discussionmentioning

confidence: 99%

Reconstruction of Massive Localized Lymphedema of the Scrotum: Results, Complications, and Quality of Life Improvements

Wisenbaugh

Moskowitz

Gelman

2018

Urology

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“…It remains unclear whether complete excision of the dermal layer is crucial for management of Milroy’s disease, but the literature examining the histopathology of excised genital skin with chronic lymphoedema is limited 2 3. We demonstrate, with histopathology, the extensive involvement of superficial dermal lymphatics and full-thickness dermal fibrosis with only a limited, focal recurrence after complete excision of all involved dermis.…”

Section: Descriptionmentioning

confidence: 79%

“…Similar findings have been reported with other forms of chronic lymphoedema. Machol et al 3 noted that patients with massive localised lymphoedema of the scrotum, had a 50% chance of recurrence after treatment. These recurrences ranged from simple fluid reaccumulation to redemonstration of dermatological pathology.…”

Section: Descriptionmentioning

confidence: 99%

Milroy’s disease and scrotal lymphoedema: pathological insight

et al. 2016

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“…Other commonly used methods include fasciocutaneous flap from the groin and the iliac region [9][10][11][12][13]. These flaps are however bulk.…”

Section: Discussionmentioning

confidence: 99%

Bilateral Scrotal Flaps: A Novel Ideain the Management of Massive Scrotal Lymphoedema

Ferdinand¹

2018

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Massive Scrotal lymphoedema is a debilitating condition that could result in both psychological and physical trauma to the patient. Irrespective of the cause of this condition, surgery remains the cornerstone in its management. A variety of surgical procedures have been described with varied degree of success. A total of eight patients with massive scrotal lymphoedema of ages between 15 and 60 years were managed by the authors. The mean excision of the scrotal tissue was 5.7 kilogrammes. All patients had post excision defect reconstructed with bilateral scrotal flaps. No skin grafts were utilized in any patient. They all healed well without any complications and were able to resume to their normal functions within nine weeks. No recurrence was noted at two years of follow up. Bilateral scrotal flap is an effective method of managing massive scrotally mphoedema. It allows for massive removal of scrotal tissue and primary repair of the defect using scrotal tissue that allows for early return to work and sexual activities. The complications are minimal and there is high patient satisfaction.

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Surgical reduction of scrotal massive localized lymphedema (MLL) in obesity

Cited by 28 publications

References 34 publications

Reconstruction of Massive Localized Lymphedema of the Scrotum: Results, Complications, and Quality of Life Improvements

Reconstruction of Massive Localized Lymphedema of the Scrotum: Results, Complications, and Quality of Life Improvements

Milroy’s disease and scrotal lymphoedema: pathological insight

Bilateral Scrotal Flaps: A Novel Ideain the Management of Massive Scrotal Lymphoedema

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