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

5 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

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

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