Eur J Plast Surg (2012) 35:565–568 DOI 10.1007/s00238-011-0650-6 CASE REPORT Combined radical excision and free microsurgical lymph node transfer for treatment of lower extremity lymphedema Paolo M. Fanzio & Dhruv Singhal & Corinne Becker Received: 4 June 2011 /Accepted: 10 October 2011 /Published online: 24 November 2011 Springer-Verlag 2011 Introduction own body image and self esteem  leading to difficulty forming social relationships and eventual isolation. Lymphedema is defined as a chronic abnormal accumula- Major criteria for the clinical classification of primary, or tion of protein-rich interstitial fluid. The etiology of congenital, lymphedema includes distinguishing between lymphedema is most commonly attributed to impaired unilateral and bilateral involvement as well as those cases lymphatic drainage. The condition is associated with a involving the entire lower limb versus those localizing chronic inflammatory process with or without fibrosis. The below the knee in a “sock form” . The most common process can be generalized or localized to certain anatomic classification of primary lymphedema  is unilateral and regions, most commonly the limbs. limited to the calf and foot. Lymphedema is classified as primary or secondary. Ultimately, if the condition is left untreated or occurs in a Secondary lymphedema usually occurs following surgical
European Journal of Plastic Surgery – Springer Journals
Published: Jul 1, 2012
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