title: [Interest of cutaneous resection after reduction of volume by decongestive physiotherapy in huge primary lymphedema of lower limb].
abstract: Treatment of lymphedema is based upon decongestive physiotherapy including low stretch bandages. We reported 3 cases of huge primary lymphedema of lower limb treated with cutaneous resection after decongestive physiotherapy. Two men and a woman (47, 48, 48 years old) had unilateral right lymphedema which appeared at the age of 38, 38 and 37 years. Patients were hospitalized and treated during 3 to 5 weeks with decongestive physiotherapy and then followed by one (n=2) or two cutaneous (n=1) resections. Lymphedema volume calculated with the method of truncated cones decreased of 32, 38 and 59%. Largest differences between the two calves were 54, 38 and 57 cm before treatment and 17, 9 and 12 cm after treatment. Cutaneous resections on external side of the calf were longitudinal without complications. Lymphedema volume remained stable after 24, 6 and 12 months with two superposed elastic stockings and regular self bandaging.
authors.affiliation: Unité de Lymphologie, Hôpital Cognacq-Jay, Site Broussais, 102 rue Didot, 75674 Paris Cedex 14. stephane.vignes@hopital-cognacq-jay.fr
authors.forename: S
authors.initials: S
authors.lastname: Vignes
authors.forename: V
authors.initials: V
authors.lastname: Boursier
authors.forename: P
authors.initials: P
authors.lastname: Trévidic
mesh_terms: D005260:Female; D006801:Humans; D007866:Leg / Q000601:surgery; D008209:Lymphedema / Q000000981:diagnostic imaging* / Q000601:surgery; D008297:Male; D008875:Middle Aged; D011859:Radiography; D016896:Treatment Outcome