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Transfemoral amputation for infected secondary lymphoedema – a case report


Authors: M. Duffek
Authors‘ workplace: Chirurgická klinika, Ústredná vojenská nemocnica SNP Ružomberok – Fakultná nemocnica
Published in: Rozhl. Chir., 2020, roč. 99, č. 12, s. 556-560.
Category: Case Report

Overview

Lymphoedema represents a serious health problem associated with significant psychological, social and economic burden for the one affected. Despite the progress in diagnostics and treatment, this medical problem will not be definitively solved in the foreseeable future. We present a case of a patient with lymphoedema which, unfortunatelly resulted in a forced transfemoral amputation due to septic complications. The course of the disease in this case confirms the severity of the diagnosis with possibly life- threatening consequences. Further, we discuss current views on lymphoedema based on the available literature.

Keywords:

lymphoedema − transfemoral amputation − septic complications


Sources
  1. Fadil A, Aldawsary N, Alsheri MA. A literature review of using compression techniques for the management of lymphoedema. Int J Phisiother. 2018;5(1):23−30. doi: 10.15621/ijphy/2018/v5i1/167196.
  2. Keast DH, Despatis M, Allen JO, et al. Chronic oedema/lymphoedema: under‐recognised and under‐treated. Int Wound J. 2015;12(3):328−333. doi: 10.1111/iwj.12224
  3. Halsted WS. The swelling of the arm after operations for cancer of the breast-Elephantiasis chirurgica - its cause and prevention. Bull Johns Hopkins Hosp. 1921; 32:309−313.
  4. Greene A K, Goss J A. Diagnosis and staging of lymphedema. Semin Plast Surg. 2018;32:12−16. doi: 10.1055/s-0038-1635117.
  5. Gutknecht M, Herberger K, Klose K, et al. Cost-of-illness of patients with lymphoedema. J Eur Acad Dermatol Venereol. 2017;31:1930–1935. doi: 0.1111/jdv.14442.
  6. Hague A, Bragg T, Thomas M, et al. Severe lower limb lymphoedema successfully treated with a two-stage debulking procedure: a case report. Case reports in plastic surgery and hand surgery 2020;7(1):38−42. doi:10.1080/23320885.2020.1736943.
  7. Dai T, Li B, He B, et al. A novel mutation in the conserved sequence of vascular endothelial growth factor receptor 3 leads to primary lymphoedema. Journal of International Medical Research 2018;46(8):3162–3171. doi: 10.1177/0300060518773264.
  8. Karayi AK, Basavaraj V, Saravu RN, et al. Human skin fibrosis: up-regulation of collagen type III gene transcription in the fibrotic skin nodules of lower limb lymphoedema. Tropical Medicine and International Health 2020;25(3):319−327. doi:10.1111/tmi.13359.
  9. Panda D K, Mohapatra D P. Dermato-lymphangitis in filariasis resembles infected chronic venous insufficiency: Two case reports and review of literature. Journal of Clinical and Diagnostic Research 2018;12(9):1−4. doi: 10.7860/JCDR/2018/37460.12046.
  10. Reißhauer A, et al. Prävalenz von Komorbiditäten bei Lymphödemerkrankungen. Phys Med Rehab Kuror. 2019;29:282−289
  11. Hirsch T, Wahl U. Das praktische Vorgehen beim postoperativen und posttraumatischen Lymphödem. Zentralbl Chir. 2017;142:287−296.
  12. Rosian K, Stanak M. Efficacy and safety assessment of lymphovenous anastomosis in patients with primary and secondary lymphoedema: A systematic review of prospective evidence. Microsurgery. 2019;39:763–772. doi: 10.1002/micr.30514
  13. Wald M. Co je nového v chirurgické léčbě lymfedému. Dermatol praxi. 2012;6(4):173−177.
Labels
Surgery Orthopaedics Trauma surgery
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