SYNOPSIS Any lesion in the lower extremity with a clinical history of pain, continuous growth, size over 5 cm, or deep subfascial localization is suspicious of a sarcomatous malignancy and should be surgically biopsied according to established surgical rules. Still…
Access video and video lecture content for this chapter online at Elsevier eBooks+ Chen-modified Charles procedure In advanced lymphedema, chronic inflammation and repeated episodes of infection lead to gradual fibrosis of subcutaneous tissue and skin, causing destruction of lymphatic channels,…
Access video content for this chapter online at Elsevier eBooks+ Introduction Our first liposuction was undertaken in 1987, but it was not until 1993 that a more detailed treatment protocol was established for arm lymphedema. Liposuction for leg lymphedema was…
Access video and video lecture content for this chapter online at Elsevier eBooks+ History of VLNT Vascularized lymph node transplant (VLNT) is one type of physiologic surgical treatment for lymphedema that has been shown to be effective in reducing affected…
Access video and video lecture content for this chapter online at Elsevier eBooks+ Introduction Historically, the treatment of lymphedema has been focused on ameliorating symptoms and halting the progression of disease. However, with recent advancements in reconstructive microsurgery and supermicrosurgery,…
Access video content for this chapter online at Elsevier eBooks+ Introduction The development of microsurgical instruments and surgical methods has led to an advanced curative lymphedema treatment. Reductive procedures (direct excision, liposuction) and physiologic reconstructive methods, such as lymphovenous anastomosis…
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Synopsis ■ Lower extremity trauma is commonly associated with other organ injuries. ■ A primary survey is essential to quickly recognize life-threatening conditions and perform critical interventions as early as possible. ■ The initial assessment of extremity trauma involves evaluating…
Synopsis ■ The goals of secondary facial reconstruction span from simply closing a wound to restoring facial function while achieving as close to a normal appearance as possible both in repose and during animation. ■ To reconstruct a missing part,…
Synopsis ■ Success in lower extremity reconstruction is dependent on a comprehensive understanding of structural and functional anatomy. An anatomic- and defect-specific approach to lower extremity reconstruction enables the surgeon to provide tailored solutions for both the preservation and restoration…