title: Effective management of marked lymphedema of the leg.
abstract: BACKGROUND
  Several conservative and surgical treatment methods have been demonstrated to be useful in the management of lymphedema.
  
  
  METHODS
  In a patient with an enormous lymphedema of the leg, we first used complex decongestive physiotherapy as proposed by Földi et al. in 1989, and then followed it with surgery.
  
  
  RESULTS
  Satisfactory results were obtained in a short period of time and were maintained during the 2-year follow-up.
  
  
  CONCLUSIONS
  We recommend a combined medical, surgical, and physiotherapeutic approach in patients with marked lymphedema.
authors.affiliation: Department of Plastic Surgery and Dermatology, Hospital Pasteur, School of Medicine, Ministry of Public Health, Montevideo, Uruguay.
authors.forename: J A
authors.initials: JA
authors.lastname: Araújo
authors.forename: J G
authors.initials: JG
authors.lastname: Curbelo
authors.forename: A L
authors.initials: AL
authors.lastname: Mayol
authors.forename: G G
authors.initials: GG
authors.lastname: Pascal
authors.forename: R A
authors.initials: RA
authors.lastname: Vignale
authors.forename: F
authors.initials: F
authors.lastname: Fleurquin
mesh_terms: D003131:Combined Modality Therapy; D004604:Elephantiasis / Q000473:pathology; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007866:Leg; D008209:Lymphedema / Q000188:drug therapy* / Q000473:pathology / Q000601:surgery*; D008875:Middle Aged; D016896:Treatment Outcome