Format

Send to

Choose Destination
Ann Chir Plast Esthet. 2011 Aug;56(4):325-8. doi: 10.1016/j.anplas.2010.10.011. Epub 2011 Jan 14.

[About an extreme case of giant lymphoedema of the upper limb: ligasure may be useful and a multidisciplinary approach is mandatory].

[Article in French]

Author information

1
Service de chirurgie plastique, cliniques universitaires Saint-Luc, Bruxelles, Belgique. aur_laf@hotmail.com

Abstract

Treatment of giant lymphoedema remains very difficult. The main problem is not only the obtention of early postoperative favorable results but to keep them long-lasting. The available treatment options are numerous and often combined. The indications have to be adapted to the clinical stage of the lesion. Ligasure(®) give us many advantages in the achievement of the surgical resection due to the quality of the lymphostasis that can be obtained and to the very limited thermic lesions caused to tissues. Long lasting postoperative physiotherapy is of first importance. We here describe a case of a giant lymphoedema of the upper limb after axillary lymph node dissection for breast cancer. The first physiotherapy failed, causing a lymphatic decompensation resulting in a lymphoedematous mass of nearly 7kg. The surgical resection with Ligasure(®) associated to drainage and compressive physiotherapy in the long run allows to obtain good results. The late follow-up after 4 years still shows stable results.

PMID:
21237550
DOI:
10.1016/j.anplas.2010.10.011
[Indexed for MEDLINE]

Supplemental Content

Full text links

Icon for Elsevier Science
Loading ...
Support Center