title: An unusual case of lymphedema tarda.
abstract: BACKGROUND
  Lymphedema is the result of the equilibrium between the load to be cleared and the transport capacity of the clearing system. Lymphedema may be classified as primary or secondary, based on the underlying etiology. Primary lymphedema is an unusual disorder characterized by inadequate lymphatic drainage. Lymphedema tarda is a rare form of primary lymphedema.
  
  
  METHODS
  The case of lymphedema tarda documented here was chronic, progressive, and resistant to medical therapy and recurred several times after previous operations.
  
  
  CONCLUSIONS
  We performed two-staged operations and we recommend that the staged excisional procedures offers reliable long-term improvement and minimizes postoperative complications in chronic advanced lymphedema.
authors.affiliation: Department of Plastic Reconstructive and Aesthetic Surgery, Zonguldak Karaelmas University Medical School, Kozlu/Zonguldak, Turkey.
authors.forename: Mubin
authors.initials: M
authors.lastname: Hosnuter
authors.forename: Mustafa
authors.initials: M
authors.lastname: Buyukates
authors.forename: Berfu
authors.initials: B
authors.lastname: Babuccu
mesh_terms: D002908:Chronic Disease; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D035002:Lower Extremity / Q000503:physiopathology / Q000601:surgery; D008209:Lymphedema / Q000145:classification / Q000209:etiology* / Q000503:physiopathology / Q000534:rehabilitation / Q000601:surgery*; D008875:Middle Aged; D026741:Physical Therapy Modalities; D012008:Recurrence; D013997:Time Factors; D016896:Treatment Outcome