Surgical Techniques and Treatments for Lymphedema
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Questions and Answers

Which one of the following is the primary cause of lymphoedema?

  • Accumulation of lymph in extracellular fluid compartment
  • Enlarged and tender regional lymph nodes
  • Defective lymphatic drainage (correct)
  • Increased protein rich interstitial fluid
  • Which one of the following is NOT a common form of lymphoedema?

  • Syndromic lymphoedema
  • Familial lymphoedema
  • Acquired lymphoedema
  • Congenital lymphoedema (correct)
  • Which one of the following is a potential complication of lymphoedema?

  • Enlarged and tender regional lymph nodes
  • Protein losing diarrhoea (correct)
  • Increased protein rich interstitial fluid
  • Defective lymphatic drainage
  • Which surgical procedure involves excision of lymphoedematous tissue and covering the area with a skin graft?

    <p>Charle's operation</p> Signup and view all the answers

    What is the characteristic presentation of Stewart Treves syndrome?

    <p>Multiple bluish satellite nodules in the skin of the limb</p> Signup and view all the answers

    Which treatment for lymphoedema involves the use of benzopyrones to increase lymphatic peristalsis and pumping mechanism?

    <p>Intermittent pneumatic compression devices</p> Signup and view all the answers

    Which surgical procedure involves creating a communication between superficial and deep lymphatics or mobilizing new lymphatic channels to the site?

    <p>Ileal mucosal patch</p> Signup and view all the answers

    Which surgical procedure involves excision of lymphoedematous tissue and skin grafting, reducing the size and weight of the limb?

    <p>Charle's operation</p> Signup and view all the answers

    What is the purpose of Thompson's operation?

    <p>To excise lymphoedematous tissue under the skin flap</p> Signup and view all the answers

    Which surgical procedure involves removing vertical strips of deep fascia to create communication between superficial and deep lymphatics?

    <p>Kondolean's operation</p> Signup and view all the answers

    Which surgical procedure involves excision of subcutaneous tissues under the skin flap with deep fascia in two stages?

    <p>Miller's procedure</p> Signup and view all the answers

    Which of the following is a common symptom of lymphoedema?

    <p>Joint pain</p> Signup and view all the answers

    What is the cause of endemic elephantiasis/podoconiosis in Africa?

    <p>Destruction of lymphatics by silica in soil</p> Signup and view all the answers

    Which of the following is NOT a differential diagnosis for lymphoedema?

    <p>Gigantism</p> Signup and view all the answers

    What is the recommended treatment for lymphoedema?

    <p>Complex decongestive therapy</p> Signup and view all the answers

    Which one of the following is the primary cause of lymphoedema?

    <p>Defective lymphatic drainage</p> Signup and view all the answers

    Which one of the following is NOT a common form of lymphoedema?

    <p>Familial</p> Signup and view all the answers

    Which one of the following is a potential complication of lymphoedema?

    <p>Deep lymphatics involvement</p> Signup and view all the answers

    Which surgical procedure involves excision of lymphoedematous tissue and skin grafting, reducing the size and weight of the limb?

    <p>Charle's operation</p> Signup and view all the answers

    What is the potential complication of lymphoedema?

    <p>Wound sepsis and graft failure</p> Signup and view all the answers

    Which surgical procedure involves removing vertical strips of deep fascia to create communication between superficial and deep lymphatics?

    <p>Kondolean's operation</p> Signup and view all the answers

    What is the characteristic presentation of Stewart Treves syndrome?

    <p>Lymphoma involving neck nodes</p> Signup and view all the answers

    Which of the following is NOT a clinical feature of lymphoedema?

    <p>Pitting oedema which disappears on elevation of the limb</p> Signup and view all the answers

    What is the characteristic feature of Grade III lymphoedema?

    <p>Oedema with irreversible skin changes like fibrosis and fissuring</p> Signup and view all the answers

    Which of the following is a differential diagnosis for lymphoedema?

    <p>Lipoedema</p> Signup and view all the answers

    What is the recommended treatment for lymphoedema?

    <p>Compression wraps</p> Signup and view all the answers

    Which surgical procedure involves the placement of silk threads, nylon threads, or perforated polyethylene tubes as a burial from ankle to mid-abdominal level, kept for one year?

    <p>Handley's procedure</p> Signup and view all the answers

    Which surgical procedure involves the excision of lymphoedematous tissue after raising skin flaps?

    <p>Haman's operation</p> Signup and view all the answers

    Which surgical procedure involves the isolation and opening of a segment of ileum with a pedicle to expose the mucosa, which is then denuded and placed in the thigh as a burial to communicate with lymphatics and drain into abdominal lymphatics across the ileum?

    <p>lleal mucosal patch</p> Signup and view all the answers

    Which surgical procedure involves the excision of lymphoedematous tissue and covering the area with a skin graft?

    <p>Charle's operation</p> Signup and view all the answers

    Which one of the following is the primary cause of lymphoedema?

    <p>Defective lymphatic drainage</p> Signup and view all the answers

    Which one of the following is a common symptom of lymphoedema?

    <p>Recurrent lymphadenitis</p> Signup and view all the answers

    Which one of the following is a potential complication of lymphoedema?

    <p>Chylous ascites</p> Signup and view all the answers

    Which surgical procedure involves the excision of lymphoedematous tissue and covering the area with a skin graft?

    <p>Miller's procedure</p> Signup and view all the answers

    Which surgical procedure involves removing vertical strips of deep fascia to create communication between superficial and deep lymphatics?

    <p>Kondolean's operation</p> Signup and view all the answers

    Which surgical procedure involves excision of lymphoedematous tissue and skin grafting, reducing the size and weight of the limb?

    <p>Charle's operation</p> Signup and view all the answers

    Which one of the following is a potential complication of lymphoedema?

    <p>Epidermal cysts</p> Signup and view all the answers

    Which of the following is a common clinical feature of lymphoedema?

    <p>Pitting oedema which disappears on elevation of the limb</p> Signup and view all the answers

    What is the cause of endemic elephantiasis/podoconiosis in Africa?

    <p>Destruction of lymphatics by silica derived from soil containing alkaline volcanic rocks</p> Signup and view all the answers

    Which of the following is a potential complication of lymphoedema?

    <p>Recurrent abscess formation</p> Signup and view all the answers

    What is the recommended treatment for lymphoedema?

    <p>Compression wraps</p> Signup and view all the answers

    Which surgical procedure involves the excision of lymphoedematous tissue after raising skin flaps?

    <p>Haman's operation</p> Signup and view all the answers

    What is the potential complication of lymphoedema?

    <p>Lymphangiosarcoma/Stewart Treves syndrome</p> Signup and view all the answers

    What is the recommended treatment for lymphoedema?

    <p>Intermittent pneumatic compression devices and multilayered lymphoedema bandaging</p> Signup and view all the answers

    Which surgical procedure involves the placement of silk threads, nylon threads, or perforated polyethylene tubes as a burial from ankle to mid-abdominal level, kept for one year?

    <p>Handley's procedure</p> Signup and view all the answers

    Which one of the following is a common symptom of lymphoedema?

    <p>Enlarged and tender regional lymph nodes</p> Signup and view all the answers

    Which one of the following is NOT a common form of lymphoedema?

    <p>Familial</p> Signup and view all the answers

    What is the characteristic feature of Grade III lymphoedema?

    <p>Subdermal fibrosis</p> Signup and view all the answers

    Which surgical procedure involves the excision of lymphoedematous tissue and skin grafting, reducing the size and weight of the limb?

    <p>Macey's operation</p> Signup and view all the answers

    What is the potential complication of lymphoedema?

    <p>Graft failure</p> Signup and view all the answers

    Which surgical procedure involves removing vertical strips of deep fascia to create communication between superficial and deep lymphatics?

    <p>Kondolean's operation</p> Signup and view all the answers

    Which one of the following is a common symptom of lymphoedema?

    <p>Management of swelling</p> Signup and view all the answers

    Which surgical procedure involves the excision of lymphoedematous tissue and covering the area with a skin graft?

    <p>Charle's operation</p> Signup and view all the answers

    What is the recommended treatment for lymphoedema?

    <p>Elevation of the limb, exercise, weight reduction</p> Signup and view all the answers

    Which one of the following is a potential complication of lymphoedema?

    <p>All of the above</p> Signup and view all the answers

    Which surgical procedure involves the placement of silk threads, nylon threads, or perforated polyethylene tubes as a burial from ankle to mid-abdominal level, kept for one year?

    <p>Nodovenous shunt</p> Signup and view all the answers

    Which one of the following is a clinical feature of lymphoedema?

    <p>Loss of normal perimalleolar shape</p> Signup and view all the answers

    Which one of the following is a differential diagnosis for lymphoedema?

    <p>Myxoedema</p> Signup and view all the answers

    Which surgical procedure involves the isolation and opening of a segment of ileum with a pedicle to expose the mucosa, which is then denuded and placed in the thigh as a burial to communicate with lymphatics and drain into abdominal lymphatics across the ileum?

    <p>Ileal lymphangioplasty</p> Signup and view all the answers

    What is the cause of endemic elephantiasis/podoconiosis in Africa?

    <p>Destruction of lymphatics by silica derived from soil containing alkaline volcanic rocks</p> Signup and view all the answers

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