Diabetic foot ulcers combination with lower limb lymphedema treated by staged charles procedure: Case report and literature review

Chin-Ta Lin, Kuang-Wen Ou, Shun-Cheng Chang

Research output: Contribution to journalArticle

3 Citations (Scopus)

Abstract

Primary or secondary, lymphedema is lymphatic dysfunction which results in protein-rich interstitial fluid accumulated in the skin and subcutaneous tissue. In developed countries, surgical resection of regional lymph nodes or chronic inflammation process is the most common etiology of lymphedema instead of parasite infection seen in developing countries. Patients with lymphedema sustain either cosmetic or functional problems, and several studies have indicated the potential risk, though not high, transforming lymphedema to lymphangiosarcoma. Here we introduce a simple idea with staged Charles procedure by a case report to decrease the size of wound healing in each procedure and decreasing the rate of surgical complication.
Original languageEnglish
JournalPakistan Journal of Medical Sciences
Volume29
Issue number4
Publication statusPublished - 2013
Externally publishedYes

Fingerprint

Diabetic Foot
Lymphedema
Lower Extremity
Lymphangiosarcoma
Parasitic Diseases
Extracellular Fluid
Subcutaneous Tissue
Developed Countries
Cosmetics
Wound Healing
Developing Countries
Lymph Nodes
Inflammation
Skin
Proteins

Keywords

  • Charles procedure
  • Diabetic foot
  • Lymphedema
  • Ulcer
  • antibiotic agent
  • hemoglobin A1c
  • oral antidiabetic agent
  • adult
  • case report
  • cellulitis
  • compression garment
  • diabetic foot
  • follow up
  • human
  • hyperbaric oxygen
  • hyperkeratosis
  • hyperpigmentation
  • leg swelling
  • lymphedema
  • male
  • non insulin dependent diabetes mellitus
  • review
  • skin biopsy
  • skin surgery
  • split thickness skin graft
  • staged Charles procedure
  • wound care

Cite this

@article{065d90837482485e89d1e044ab87689d,
title = "Diabetic foot ulcers combination with lower limb lymphedema treated by staged charles procedure: Case report and literature review",
abstract = "Primary or secondary, lymphedema is lymphatic dysfunction which results in protein-rich interstitial fluid accumulated in the skin and subcutaneous tissue. In developed countries, surgical resection of regional lymph nodes or chronic inflammation process is the most common etiology of lymphedema instead of parasite infection seen in developing countries. Patients with lymphedema sustain either cosmetic or functional problems, and several studies have indicated the potential risk, though not high, transforming lymphedema to lymphangiosarcoma. Here we introduce a simple idea with staged Charles procedure by a case report to decrease the size of wound healing in each procedure and decreasing the rate of surgical complication.",
keywords = "Charles procedure, Diabetic foot, Lymphedema, Ulcer, antibiotic agent, hemoglobin A1c, oral antidiabetic agent, adult, case report, cellulitis, compression garment, diabetic foot, follow up, human, hyperbaric oxygen, hyperkeratosis, hyperpigmentation, leg swelling, lymphedema, male, non insulin dependent diabetes mellitus, review, skin biopsy, skin surgery, split thickness skin graft, staged Charles procedure, wound care",
author = "Chin-Ta Lin and Kuang-Wen Ou and Shun-Cheng Chang",
note = "Export Date: 21 March 2016 CODEN: PJMSC 通訊地址: Chang, S.-C.; Division of Plastic and Reconstructive Surgery, Department of Surgery, Tri-Service General Hospital, National Defense Medical Center, No. 325, Section 2, Cheng-Gung Road, Taipei, 11490, Taiwan; 電子郵件: aarondakimo@yahoo.com.tw 化學物質/CAS: hemoglobin A1c, 62572-11-6 參考文獻: Charles, R.H., (1912) A System of Treatment, 3. , London: Churchill; Gloviczki, P., Principles of surgical treatment of chronic lymphoedema (1999) Int Angiol, 18, pp. 42-46; van der Walt, J.C., Perks, T.J., Zeeman, B.J., Bruce-Chwatt, A.J., Graewe, F.R., Modified Charles procedure using negative pressure dressings for primary lymphedema: A functional assessment (2009) Ann Plast Surg, 62, pp. 669-675; Rockson, S.G., Rivera, K.K., Estimating the population burden of lymphedema (2008) Ann N Y Acad Sci, 1131, pp. 147-154; Kerchner, K., Fleischer, A., Yosipovitch, G., Lower extremity lymphedema update: Pathophysiology (2008) J Am Acad Dermatol, 59, pp. 324-331. , diagnosis, and treatment guidelines; Campisi, C., Boccardo, F., Microsurgical techniques for lymphedema treatment: Derivative lymphatic-venous microsurgery (2004) World J Surg, 28, pp. 609-613; Salgado, C.J., Sassu, P., Gharb, B.B., Spilimbergo, S.D.S., Mardini, S., Chen, H.C., Radical reduction of upper extremity lymphedema with preservation of perforators (2009) Ann Plast Surg, 63, pp. 302-306; Miller, T.A., Wyatt, L.E., Rudkin, G.H., Staged skin and subcutaneous excision for lymphedema: A favorable report of long-term results (1998) Plast Reconstr Surg, 102, pp. 1486-1498",
year = "2013",
language = "English",
volume = "29",
journal = "Pakistan Journal of Medical Sciences",
issn = "1682-024X",
publisher = "Professional Medical Publications",
number = "4",

}

TY - JOUR

T1 - Diabetic foot ulcers combination with lower limb lymphedema treated by staged charles procedure: Case report and literature review

AU - Lin, Chin-Ta

AU - Ou, Kuang-Wen

AU - Chang, Shun-Cheng

N1 - Export Date: 21 March 2016 CODEN: PJMSC 通訊地址: Chang, S.-C.; Division of Plastic and Reconstructive Surgery, Department of Surgery, Tri-Service General Hospital, National Defense Medical Center, No. 325, Section 2, Cheng-Gung Road, Taipei, 11490, Taiwan; 電子郵件: aarondakimo@yahoo.com.tw 化學物質/CAS: hemoglobin A1c, 62572-11-6 參考文獻: Charles, R.H., (1912) A System of Treatment, 3. , London: Churchill; Gloviczki, P., Principles of surgical treatment of chronic lymphoedema (1999) Int Angiol, 18, pp. 42-46; van der Walt, J.C., Perks, T.J., Zeeman, B.J., Bruce-Chwatt, A.J., Graewe, F.R., Modified Charles procedure using negative pressure dressings for primary lymphedema: A functional assessment (2009) Ann Plast Surg, 62, pp. 669-675; Rockson, S.G., Rivera, K.K., Estimating the population burden of lymphedema (2008) Ann N Y Acad Sci, 1131, pp. 147-154; Kerchner, K., Fleischer, A., Yosipovitch, G., Lower extremity lymphedema update: Pathophysiology (2008) J Am Acad Dermatol, 59, pp. 324-331. , diagnosis, and treatment guidelines; Campisi, C., Boccardo, F., Microsurgical techniques for lymphedema treatment: Derivative lymphatic-venous microsurgery (2004) World J Surg, 28, pp. 609-613; Salgado, C.J., Sassu, P., Gharb, B.B., Spilimbergo, S.D.S., Mardini, S., Chen, H.C., Radical reduction of upper extremity lymphedema with preservation of perforators (2009) Ann Plast Surg, 63, pp. 302-306; Miller, T.A., Wyatt, L.E., Rudkin, G.H., Staged skin and subcutaneous excision for lymphedema: A favorable report of long-term results (1998) Plast Reconstr Surg, 102, pp. 1486-1498

PY - 2013

Y1 - 2013

N2 - Primary or secondary, lymphedema is lymphatic dysfunction which results in protein-rich interstitial fluid accumulated in the skin and subcutaneous tissue. In developed countries, surgical resection of regional lymph nodes or chronic inflammation process is the most common etiology of lymphedema instead of parasite infection seen in developing countries. Patients with lymphedema sustain either cosmetic or functional problems, and several studies have indicated the potential risk, though not high, transforming lymphedema to lymphangiosarcoma. Here we introduce a simple idea with staged Charles procedure by a case report to decrease the size of wound healing in each procedure and decreasing the rate of surgical complication.

AB - Primary or secondary, lymphedema is lymphatic dysfunction which results in protein-rich interstitial fluid accumulated in the skin and subcutaneous tissue. In developed countries, surgical resection of regional lymph nodes or chronic inflammation process is the most common etiology of lymphedema instead of parasite infection seen in developing countries. Patients with lymphedema sustain either cosmetic or functional problems, and several studies have indicated the potential risk, though not high, transforming lymphedema to lymphangiosarcoma. Here we introduce a simple idea with staged Charles procedure by a case report to decrease the size of wound healing in each procedure and decreasing the rate of surgical complication.

KW - Charles procedure

KW - Diabetic foot

KW - Lymphedema

KW - Ulcer

KW - antibiotic agent

KW - hemoglobin A1c

KW - oral antidiabetic agent

KW - adult

KW - case report

KW - cellulitis

KW - compression garment

KW - diabetic foot

KW - follow up

KW - human

KW - hyperbaric oxygen

KW - hyperkeratosis

KW - hyperpigmentation

KW - leg swelling

KW - lymphedema

KW - male

KW - non insulin dependent diabetes mellitus

KW - review

KW - skin biopsy

KW - skin surgery

KW - split thickness skin graft

KW - staged Charles procedure

KW - wound care

M3 - Article

VL - 29

JO - Pakistan Journal of Medical Sciences

JF - Pakistan Journal of Medical Sciences

SN - 1682-024X

IS - 4

ER -