Key Points Treatment of advanced lymphedema remains a challenge in reconstructive surgery. Surgical management with excisional procedures is indicated in select patients when conservative measures have failed. Based on an improved knowledge of vascular anatomy and understanding of perforator flap…
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,…
Introduction In 1904, Wiilstein, in Germany, reported the first case of a jejunal flap. He used the jejunum as a pedicled flap to reconstruct the thoracic esophagus. In 1907, Roux, in France, described a successful staged reconstruction of the esophagus…