Surgery performed in the past to excise lymphedematous tissues with irreversibly damaged structures. This operation, similarly to other “demolishing” surgical approaches in the treatment of lymphedema (e.g. Servelle’s operation, or total surface lymphangectomy, and Thompson’s buried dermal flap operation) was selected for patients with advance stage lymphedema. More exactly, it featured a skin excision (both of the sub-cutis and the fascia – e.g. a cutolipofasciectomy) in the affected anatomic district. Today, these surgical techniques have been totally replaced by new reconstructive microsurgical techniques, which are commonly applied in lymphology. Another reason for becoming obsolete techniques is that, since they only act on secondary effects of lymphatic failure – e.g. imbibition of suprafascial tissues – they have never yielded any encouraging results, neither in the short term – due to severe surgical invasiveness and serious post-operative complications, nor in the long term, due to extensive scarring and disfigurement caused by the operation itself.

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