ElKiran Yasser M, ElShafei Amr, Morshed Ahmed M, Elkiran Yasmin Y, Elmetwally Ahmed M
Vascular and Endovascular Surgery Department, Faculty of Medicine, Mansoura University, Mansoura City, Egypt.
Vascular and Endovascular Surgery Department, Faculty of Medicine, Mansoura University, Mansoura City, Egypt; Vascular Surgery Department, Guy's and St. Thomas' NHS Foundation Trust, London, UK.
J Vasc Surg Venous Lymphat Disord. 2025 Jan;13(1):101987. doi: 10.1016/j.jvsv.2024.101987. Epub 2024 Oct 10.
The goal of this study was to test the hybrid technique of combined tumescent liposuction and surgical excision in patients with advanced lipolymphedema of the thigh after compression therapy as a gold standard for treatment.
Between January 2016 and April 2020, 18 female and 1 male patients with massive thigh lipolymphedema were treated with complete decongestive therapy for the whole thigh followed by selective decongestive therapy to the upper and lower thigh to make a lump on the midmedial region. Then, the patient was prepared for surgery. Skin is refashioned and sutured in a manner that leaves no furrows and a cosmetic contour is obtained. Compression therapy is maintained from the day of the surgery starting by compression bandage until full healing of the wound, followed by well-fitted garments.
This study was conducted on 18 female patients and 1 male patient who presented with massive lipolymphedema of the thigh. The age of the patients ranged from 46 to 65 years old with a mean age of 51.38 years. All patients in this study underwent compression therapy as a preparatory stage to turn the massive lipolymphedema into lumpedema, followed by hybrid technique which consisted of combined liposuction and surgical excision.
Conversion of massive thigh lipolymphedema into lumpedema followed by tumescent liposuction and surgical excision has proven to be a safe and effective treatment option with a marvelous cosmetic result and low wound morbidity and should be considered as a solution for all patients with this disorder.
本研究的目的是测试在以加压治疗作为治疗金标准的晚期大腿脂肪性淋巴水肿患者中，肿胀吸脂与手术切除相结合的混合技术。
2016年1月至2020年4月期间，18名女性和1名男性患有大腿巨大脂肪性淋巴水肿的患者接受了全大腿的完全减压治疗，随后对大腿上部和下部进行选择性减压治疗，以使大腿中内侧区域形成肿块。然后，患者准备接受手术。以不留皱纹并获得美观外形的方式对皮肤进行重塑和缝合。从手术当天开始用加压绷带进行加压治疗，直至伤口完全愈合，随后使用合适的服装。
本研究对18名女性患者和1名男性患者进行，这些患者均患有大腿巨大脂肪性淋巴水肿。患者年龄在46至65岁之间，平均年龄为51.38岁。本研究中的所有患者都接受了加压治疗作为准备阶段，将巨大脂肪性淋巴水肿转变为肿块性水肿，随后采用了包括吸脂和手术切除相结合的混合技术。
将大腿巨大脂肪性淋巴水肿转变为肿块性水肿，随后进行肿胀吸脂和手术切除，已被证明是一种安全有效的治疗选择，具有出色的美容效果和较低的伤口发病率，应被视为所有患有这种疾病的患者的一种解决方案。
