Department of Surgery, Ninava Medical College, Mosul University, Mosul, Iraq.
We report our experience of four cases of long-standing unilateral, secondary lymphoedemaof thelower limb, for which conservative treatment has failed, that were treated in our centre using pedicled omental flap. The four patients were followed for a period of 1 year after the procedures and frequent measurements of the circumference of the affected limb revealed a reduction in the circumference ranging between 50% in the first patient to 75% in the fourth patient together with an excellent functional improvement in terms of resuming walking, daily activities, sports and work. We think that pedicled omental flap is an important, relatively easy and safe option that deserves consideration in refractory cases of lymphoedema of the lower limb.
***Please Note:This is for informational purposes only. Not to be construed as an endorsement of this procedure. Personally, I feel much more research is imperative including long term and very long term results and potential complications.Pat***