Circumferential suction‐assisted lipectomy in the treatment of primary and secondary end‐stage lymphoedema of the leg. BJS 2017; 104: 84-89.
Published: 3rd November 2016
Authors: D.‐A. A. Lamprou, H. G. J. Voesten, R. J. Damstra, O. R. M. Wikkeling
The treatment of end‐stage lymphoedema of the leg is challenging, especially when conservative treatment fails and there is a large volume difference between the affected and unaffected legs. Circumferential suction‐assisted lipectomy (
This was a descriptive study of patients treated with
A total of 47 patients with primary lymphoedema had a median preoperative volume difference between affected and unaffected legs of 3686 (i.q.r. 2851–5121) ml. Two years after surgery, this volume difference was reduced to 761 ml, a 79 per cent reduction. In the 41 patients treated for secondary lymphoedema, the median preoperative volume difference was 3320 (i.q.r. 2533–4783) ml, decreasing after 2 years to −38 ml (101 per cent reduction). The preoperative volume difference and the sex of the patient significantly influenced the final outcome after 2 years. The outcome was not related to
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