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- Title
SUCCESSFUL MULTI-MODAL TREATMENT OF GRADE IV LYMPHEDEMA IN LYMPHATIC FILARIASIS: A CASE STUDY.
- Authors
Sivaprakasam, R.; Anuradha, R.; Bethunaickan, R.; Manokaran, G.
- Abstract
We present an integrated therapeutic approach performed on a 37 year old female with giant lymphedema (Grade IV) due to lymphatic filariasis of 27 years duration. Our therapeutic approaches consisted of a basic foot care program for two weeks, followed by a course of oral penicillin for a week including conservative treatment with complete decongestive therapy (CDT) together with respiratory physiotherapy and walking exercises. In addition, advanced surgical techniques with supra-fascial excision of alternate lumps in three stages over an interval of ten days followed by a nodo-venal shunt resulted in reversing the stage IV lymphedema condition. Over a ten year followup, the patient remains essentially unchanged confirming the success of the treatment without any recurrence or complications. Finally, by combining multimodal treatment, we were able to achieve a near normal limb in Stage III and Stage IV lymphedema of the lower limb in lymphatic filariasis.
- Subjects
LYMPHEDEMA; FILARIASIS; FOOT care; FOLLOW-up studies (Medicine); LYMPH circulation disorders
- Publication
Lymphology, 2018, Vol 51, Issue 2, p89
- ISSN
0024-7766
- Publication type
Case Study