Treatment of Lymphoedema by Plastic Operation: (A Preliminary Report)

Gillies, Harold; Fraser, Francis R.

doi:10.1136/bmj.1.3863.96

Cited by 87 publications

(14 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…4 The alternative treatment described in the literature is lymphangioplasty 5,6 and lymphaticovenous anastomasosis. 7 This excision is also termed "the physiological approach" 8 and it is applicable to reversible states (i.e., reversible skin changes) of minor lymph stasis and easily identifiable lymphatic obstruction.…”

Section: Discussionmentioning

confidence: 99%

A surgical challenge: Idiopathic scrotal elephantiasis

Brotherhood

Metcalfe

Goldenberg

et al. 2014

CUAJ

View full text Add to dashboard Cite

Scrotal elephantiasis is a condition rarely encountered in developed nations. It is endemic in tropical regions due to the presence of filariasis (Wucheria bancrofti). We report 2 cases of idiopathic scrotal elephantiasis in Canadian citizens with no history of travel to endemic filariasis regions, malignancy, surgery or radiation. Both patients underwent complete excision of the involved tissue with reconstruction. We found that for advanced cases of scrotal lymphedema, surgery is currently the only solution. In our cases of advanced idiopathic disease, surgical treatment combining the expertise of a plastic surgeon and a urologist provided a successful functional and cosmetic result.

show abstract

Section: Discussionmentioning

confidence: 99%

A surgical challenge: Idiopathic scrotal elephantiasis

Brotherhood

Metcalfe

Goldenberg

et al. 2014

CUAJ

View full text Add to dashboard Cite

show abstract

“…2,3,4,10,12,13,15,16 Surgical treatment based on lymphangioplasty aimed at restoring lymphatic drainage with vascular anastomoses is limited to cases with minor stasis, well isolated lymphatic channels, and no fibrosis. 3 Failures in this surgical procedure and frequent recurrences have discouraged the use of this technique.…”

Section: Discussionmentioning

confidence: 99%

“…1,2,8 Since the response to medical therapy is poor, excision of the affected tissue is still the best option to treat this condition. [7][8][9][10][11][12][13][14][15][16] The objective of this study is to present our experience in treating penoscrotal lymphedema, as well as the results obtained by using the Charles procedure 11 and adding a tactical modification in cutaneous reconstruction of the penile shaft.…”

Section: Introductionmentioning

confidence: 99%

Surgical Treatment of Lymphedema of the Penis and Scrotum

Modolin

Mitre

Silva

et al. 2006

Clinics

View full text Add to dashboard Cite

. Surgical treatment of lymphedema of the penis and scrotum. Clinics. 2006;61(4):289-94. PURPOSE:Lymphedema of the penis and scrotum, regardless of its etiology, is determined by reduced lymphatic flow with subsequent enlargement of the penis and scrotum. The clinical course of this condition is characterized by extreme discomfort for patients, with limitation of local hygiene, ambulation, sexual intercourse, and voiding in the standing position. The purpose of the present study is to present the experience and results of the treatment of lymphedema of the penis and scrotum by removing affected tissues and correcting the penoscrotal region. MATERIALS AND METHODS:Seventeen patients with lymphedema of the penis and scrotum were treated with a modified Charles procedure, which consists of the excision of the affected skin followed by scrotoplasty and midline suture simulating the scrotal raphe. The penis is covered with a split-thickness skin graft by means of a zigzag suture on its ventral surface. RESULTS: Regression of symptoms and improvement of previous clinical conditions were verified in the follow-up which ranged from 6 months to 6 years. One patient who had undergone lymphadenectomy with radiation therapy due to penile cancer had recurrent scrotum lymphedema. CONCLUSIONS: The modified Charles procedure for the treatment of penoscrotal lymphedema is easily reproducible and allows better local hygiene, easier ambulation, voiding in the standing position, resuming sexual intercourse, and finally, better cosmetic results in the affected area with remarkable improvement in quality of life.

show abstract

“…The diagnosis here is one of hypoplasia of the thigh lymphatics and inguinal glands. However, if obstructed distal vessels with localized inguinal or pelvic glandular aplasia are shown, it may be possible to plan some sort of by-pass operation using, for example, a pedicle graft as described by Gillies and Fraser (1935). The results ofoperations in which fine plastic tubes have been inserted from abnormal to normal areas of lymphatic drainage have been disappointing.…”

Section: Methodsmentioning

confidence: 99%

Lymphangiography in Children

Gouch¹

1964

Archives of Disease in Childhood

View full text Add to dashboard Cite

Treatment of Lymphoedema by Plastic Operation: (A Preliminary Report)

Cited by 87 publications

References 0 publications

A surgical challenge: Idiopathic scrotal elephantiasis

A surgical challenge: Idiopathic scrotal elephantiasis

Surgical Treatment of Lymphedema of the Penis and Scrotum

Lymphangiography in Children

Contact Info

Product

Resources

About