Ga. Dumanian et Jw. Futrell, RADICAL EXCISION AND DELAYED RECONSTRUCTION OF A LYMPHEDEMATOUS LEG WITH A 15 YEAR FOLLOW-UP, Lymphology, 29(1), 1996, pp. 20-24
An adult female patient with primary lymphedema of the lower extremity
was treated with total excision of the subcutaneous tissues followed
by delayed reconstruction with a giant full thickness skirt graft take
n from the excised surgical specimen. The leg has maintained excellent
function and contour over the ensuing 15 years. A small area on the d
orsum of the foot that initially was covered with a split thickness sk
in graft required subsequent regrafting using abdominal skin. This are
a developed verrucoid changes.