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KMID : 0357019960120010106
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Journal of the Korean Vascular Surgery Society
1996 Volume.12 No. 1 p.106 ~ p.111
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Omental Transposition for Secondary Lymphedema of Lower Extremities
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Abstract
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The secondary lymphedema was mainly followed by previous pelvic lymph node dissection for intrapelvic organ malignancy. It usually took over 10 years to clinical evidence of lymphedema after the pelvic node dissection. There are several surgical
modalities such as direct lymphatic reconstruction, pedicle flaps and excisional operations for treatment of lymphedema. And there was no definite single surgical guideline until now. As one of the pedicle flaps, the omental pedicle transposition
was
introduced in 1967 by Goldsmith clinically.
Authors try to make retrospective clinical analysis of omental pedicle transposition in secondary lymphedema patients and introduce the surgical procedure in detail.
We have experienced 17 cases of omental pedicle transposition during past 5 years at Dept. of Surgery, Kangnam St. Mary's Hospital, Catholic University Medical College, with following results;
1) All 17 patients had been treated with previous pelvic surgery for uterine malignancy.
2) The sex and age distribution were female in all cases with mean age of 51 yrs.
3) The postoperative surgical complications were wound infection and delayed wound healing in 6 cases and incisional hernia in 2 cases.
4) The clinical results by patients herself were much improved in 12 cases and moderate improved in 5 cases.
In spite of limited number of cases, about 70% of our patients were satisfied with the surgical outcome. So, the authors could recommend this surgical procedure in secondary lymphedema patients for the chance of better quality of life. And
further
clinical evaluation should be followed in the future.
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KEYWORD
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