title: Coordination of multiple services for a patient with severe lymphedema of the right lower extremity.
abstract: Surgical resection of the right lower extremity in an adult with severe lymph-edema of the extremity required intensive coordination of multiple services and specialists because of the medical and surgical complexity of the patient's condition, massive limb size, and surgical location in a children's hospital. Early and prolonged planning was necessary to anticipate problems and provide optimal care. The patient had a successful surgical outcome, improvement in medical comorbid conditions postoperatively, and improvement in the quality of life upon discharge. This coordinated effort will be used in the future as a template for patients with complex conditions whose care requires lengthy planning and involves multiple services and specialists.
authors.affiliation: Vascular Anomalies Center, Children’s Hospital Boston, Massachusetts, MA 02115, USA. marybeth.sylvia@childrens.harvard.edu
authors.forename: Mary Beth
authors.initials: MB
authors.lastname: Sylvia
authors.forename: Erin
authors.initials: E
authors.lastname: Spera
authors.forename: Susan M
authors.initials: SM
authors.lastname: Hamilton
authors.forename: Stella
authors.initials: S
authors.lastname: Harrington
authors.forename: Jay
authors.initials: J
authors.lastname: Hartford
authors.forename: Sandy
authors.initials: S
authors.lastname: Quigley
mesh_terms: D000328:Adult; D019091:Critical Pathways / Q000458:organization & administration; D006801:Humans; D035002:Lower Extremity / Q000601:surgery*; D008209:Lymphedema / Q000451:nursing / Q000601:surgery*; D008297:Male; D010347:Patient Care Planning / Q000458:organization & administration*; D012720:Severity of Illness Index; D016896:Treatment Outcome