Consultant Plastic Surgeon
Department of Plastic Surgery, Ninewells Hospital, Dundee, United Kingdom
Prior to the development of suitable pressure garments and the various decongestive therapy techniques, the only option for patients with large lymphoedematous limbs was surgery. A variety of techniques were described in the early 20th century, with some still in use today (Charles & Homan’s procedures).
The draw back of these surgical excision procedures is the significant and unacceptable degree of scarring and cosmetic deformity which can result.