Hybrid approach of massive lipolymphedema of the thigh: A novel surgical technique.

IF 2.8 2区 医学 Q2 PERIPHERAL VASCULAR DISEASE
Yasser M ElKiran, Amr ElShafei, Ahmed M Morshed, Yasmin Y Elkiran, Ahmed M Elmetwally
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Abstract

Objective: The goal of this study was to test the hybrid technique of combined tumescent liposuction and surgical excision in patients with advanced lipolymphedema of the thigh after compression therapy as a gold standard for treatment.

Methods: Between January 2016 and April 2020, 18 female and 1 male patients with massive thigh lipolymphedema were treated with complete decongestive therapy for the whole thigh followed by selective decongestive therapy to the upper and lower thigh to make a lump on the midmedial region. Then, the patient was prepared for surgery. Skin is refashioned and sutured in a manner that leaves no furrows and a cosmetic contour is obtained. Compression therapy is maintained from the day of the surgery starting by compression bandage until full healing of the wound, followed by well-fitted garments.

Results: This study was conducted on 18 female patients and 1 male patient who presented with massive lipolymphedema of the thigh. The age of the patients ranged from 46 to 65 years old with a mean age of 51.38 years. All patients in this study underwent compression therapy as a preparatory stage to turn the massive lipolymphedema into lumpedema, followed by hybrid technique which consisted of combined liposuction and surgical excision.

Conclusions: Conversion of massive thigh lipolymphedema into lumpedema followed by tumescent liposuction and surgical excision has proven to be a safe and effective treatment option with a marvelous cosmetic result and low wound morbidity and should be considered as a solution for all patients with this disorder.

大腿大面积脂肪性水肿的混合方法:一种新颖的手术技术。
研究目的本研究的目的是对大腿脂肪性水肿晚期患者在加压疗法后采用膨胀吸脂和手术切除相结合的混合技术作为治疗的黄金标准进行测试:2016年1月至2020年4月期间,18名女性和1名男性大腿大面积脂肪性水肿患者接受了整个大腿的完全减压治疗(CDT),然后对大腿上部和下部进行选择性减压治疗,使其在中内侧区域形成肿块,然后,患者做好手术准备。对皮肤进行整复和缝合,使其不留褶皱,并获得美观的轮廓。从手术当天起就开始使用压力绷带,直到伤口完全愈合,然后再穿上合身的衣服:这项研究的对象是 18 名女性患者和一名男性患者,他们都患有大腿大面积脂肪性水肿。患者年龄从 46 岁到 65 岁不等,平均年龄为 51.38 岁。本研究中的所有患者都接受了压力治疗,作为将大面积脂肪性水肿转化为肿块性水肿的准备阶段,随后采用了混合技术,包括联合吸脂和手术切除:大腿大块脂肪性水肿转化为肿块水肿后,采用膨胀吸脂术和手术切除术被证明是一种安全有效的治疗方案,具有极佳的美容效果,且伤口发病率低,应被视为所有此类疾病患者的一种解决方案。
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来源期刊
Journal of vascular surgery. Venous and lymphatic disorders
Journal of vascular surgery. Venous and lymphatic disorders SURGERYPERIPHERAL VASCULAR DISEASE&n-PERIPHERAL VASCULAR DISEASE
CiteScore
6.30
自引率
18.80%
发文量
328
审稿时长
71 days
期刊介绍: Journal of Vascular Surgery: Venous and Lymphatic Disorders is one of a series of specialist journals launched by the Journal of Vascular Surgery. It aims to be the premier international Journal of medical, endovascular and surgical management of venous and lymphatic disorders. It publishes high quality clinical, research, case reports, techniques, and practice manuscripts related to all aspects of venous and lymphatic disorders, including malformations and wound care, with an emphasis on the practicing clinician. The journal seeks to provide novel and timely information to vascular surgeons, interventionalists, phlebologists, wound care specialists, and allied health professionals who treat patients presenting with vascular and lymphatic disorders. As the official publication of The Society for Vascular Surgery and the American Venous Forum, the Journal will publish, after peer review, selected papers presented at the annual meeting of these organizations and affiliated vascular societies, as well as original articles from members and non-members.
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