Massive Localized Abdominal Lymphedema Treatment Challenges.

Al-Tarrah, Khaled, Ashour, Tarek, Rao, Rajashankar, Rayatt, Sukhbir and Thomas, Sunil S (2020) Massive Localized Abdominal Lymphedema Treatment Challenges. Plastic and reconstructive surgery. Global open, 8 (1). e2601. ISSN 2169-7574.


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Massive localized lymphedema of the abdomen is a rare condition resulting from a neglected lower abdominal pannus associated with significant disability and morbidity. Compared to other surgical procedures, postbariatric surgery is usually considered a financial drain. In the United Kingdom, this requires National Health Service approval and delays may lead to sequelae that adversely impact on patients' quality of life with increased morbidity. We present a wheelchair-bound patient whose body mass index increased from 53 to 82, while awaiting funding approval increasing her anesthetic and surgical risks. A multidisciplinary approach is mandatory for preoperative, intraoperative, and postoperative care for these patients including anesthetic input and high dependency unit care. Managing this patient was a significant anesthetic and surgical challenge with 47-kg resected tissue. The planning and perioperative measures to minimize morbidity are discussed.

Item Type: Article
Subjects: WI Digestive system. Gastroenterology
WO Surgery
WO Surgery > WO500 Anaesthesia
Divisions: Clinical Support > Anaesthetics
Planned IP Care > Gastroentrology
Planned IP Care > Plastic and Reconstructive Surgery
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Depositing User: Mr Philip O'Reilly
Date Deposited: 03 Mar 2020 12:39
Last Modified: 03 Mar 2020 12:39

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