RADICAL EXCISION AND DELAYED RECONSTRUCTION OF A LYMPHEDEMATOUS LEG WITH A 15 YEAR FOLLOW-UP

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.