Diagnosis and surgical treatment of left lower limb lymphedema, III-IV stage, in a 55-year-old patient
DOI:
https://doi.org/10.24144/2415-8127.2020.61.62-66Keywords:
lower limb lymphedema, surgical treatment.Abstract
Lower limb lymphostasis is observed in 1,2–47,0 % after radical surgical treatment of malignant tumors of the female genital organs. Microsurgical interventions such as limfovenous anastomoses, transplantation of vascularized lymph nodes due to the variability of the results, lack of benefits of one method of treatment remain experimental and need further investigations. Furthermore, dermolipofascioectomy in combination with postoperative compression therapy, provides satisfactory long-term results and is recommended at late stages of lower limb lymphedema, when surrounding tissues are remodeling into hypertrophic fibrous subcutaneous fat. In our observation, in a 55 year-old woman, with secondary left lower limb lymphedema, III-IV stage, after combined treatment of cervical cancer T1b2N0M0G2, dermolipofascioectomy allowed significantly improve the quality of patient’s life and restore overall motor activity.
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