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Lymphedema: Anatomoclinical Aspects and Surgical Management at the Ignace Deen National Hospital of Conakry (Guinea)

Received: 14 September 2022     Accepted: 18 October 2022     Published: 28 October 2022
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Abstract

Introduction: We aimed to report the anatomoclinical aspects and the management of lymphedema in the general surgery department at Ignace Deen National Hospital of Conakry (Guinea). Patients and methods: this was a retrospective study including consecutive patients with lymphoedema who were admitted and had surgery in our department during a period of 10 years (from January 2010 to December 2019). Results: during the ten years we collected 25 cases of lymphedema: 11 male and 14 females. The mean age of the patients was 45 years-old. The disease onset varies from 6 months to 18 years with a mean of 7.5 years. The lesions were predominantly in the limbs (76%) and in the genitalia (24%). The microfilaria test was negative. All patients received an anti-filarial drug (diethylcarbamazine) as a precautionary measure. The procedure consisted of resection of the lymphangiomatous tissue and a reconstruction plasty. After a 2-year follow-up we did not observe any case of recurrence. Conclusion: Lymphedema is a rare pathology in our environnement that occurs predominantly in the limbs and genitalia. This disease has a significant impact on the quality of life of patients, the functional, aesthetic and psychological repercussions. A well performed excisional surgery with reconstruction allow a satisfactory result.

Published in Journal of Surgery (Volume 10, Issue 5)
DOI 10.11648/j.js.20221005.18
Page(s) 184-186
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2022. Published by Science Publishing Group

Keywords

Lymphedema, Anatomoclinical Aspects, Management, Conakry, Guinea

References
[1] Park KE, Allam O, Chandler L, Mozzafari MA, Ly C, Lu X, John A Surgical management of lymphedema: a review of current literature. Persing Gland Surg 2020; 9 (2): 503-511.
[2] Vaillant L, Müller C, Goussé P. Treatment of limb lymphedema. Med Press. 2010; 39: 1315–1323.
[3] Ndiaye M, Diadie S, Dioussé P, Diatta BA, Diop A et al. The causes of member's lymphedema: a retrospective study of 309 cases in Dakar. Our Dermatol Online. 2020; 11 (1): 1-6.
[4] Touré A, Bah OR, Diallo AT, Diallo AB, Guirassy S et al. Lymphedema of the external genitalia: management at the Conakry teaching hospital. African Journal of Urology 2006; 12 (4): 209-213.
[5] Dast S, Herlin C, Zeltzer A, Siddhoum N, Alharbi M, Chaput B, Sinna R. Surgical treatment of lymphedema of the limbs: management algorithm. Ann Chir Plast Esthet 2016; 9 (1): 1-5.
[6] Slama A, Jaidane M, Elleuch A, Sorba NB, Yacoubi MT, Mosbah AF. Surgical treatment of penoscrotal elephantiasis. Advances in Urology 2002; 12: 337-339.
[7] Chinellato M, Chinellato E. Lymphatic filariasis (elephantiasis) Ann. Fr. Med. Emergency 2016; 6: 437.
[8] Fourgeaud C, Vignes S. Lymphedema of the lower limbs: a rare manifestation of spondyloarthritis. Journal of Internal Medicine 2019; 4: 1-4.
[9] Bleina M, Martinb L, Lorettec G, Vaillant L, Baulieud F, Maruanic A. Primary childhood lymphedema. Annals of Dermatology and Venereology 2012; 139: 744-750.
[10] Alliot F, Launois R. Lymphedema and quality of life. Internal Med Rev 2002; 23 (3): 431-5.
[11] Dehhaze A, Benchamkha Y, Dhaidah O, Ejjiyar M, Quaboul M, Bhihi A et al. Traitement chirurgical d’un lymphœdème scrotal. Pan African Medical Journal. 2019; 33: 88-97.
[12] Sakhi M, Ouabid A, Amrani D, Chlihi A, Boukind E. Lymphœdème des membres inférieurs (à propos de deux cas d’éléphantiasis). Rev Maroc Chir Orthop Traumato 2008; 35: 44-46.
[13] Mazerolle P, Kolsi K, Meresse T, Gangloff D, Dupret-Bories A. Vascularized lymph node transfer by submental free flap. French Annals of Oto-Rhino-Laryngology and Cervico-Facial Pathology 2020; 137 (1), 69–73.
[14] Ferrandez JC, Bourassin A, Debeauquesne A, Philbert C. Prospective multi-practitioner outpatient study of upper limb lymphedema after breast cancer – About 76 cases Oncology 2005; 7: 316-322.
[15] Ferrandez JC, Theys S, Bouchet JY. Taping and lymphedema. Kinesither Rev 2014; 14 (147): 31–33.
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    Kondano Saa Yawo, Fofana Naby, Bangoura Mohamed Saliou, Koundouno Aly Mampan, Camara Mariame, et al. (2022). Lymphedema: Anatomoclinical Aspects and Surgical Management at the Ignace Deen National Hospital of Conakry (Guinea). Journal of Surgery, 10(5), 184-186. https://doi.org/10.11648/j.js.20221005.18

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    ACS Style

    Kondano Saa Yawo; Fofana Naby; Bangoura Mohamed Saliou; Koundouno Aly Mampan; Camara Mariame, et al. Lymphedema: Anatomoclinical Aspects and Surgical Management at the Ignace Deen National Hospital of Conakry (Guinea). J. Surg. 2022, 10(5), 184-186. doi: 10.11648/j.js.20221005.18

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    AMA Style

    Kondano Saa Yawo, Fofana Naby, Bangoura Mohamed Saliou, Koundouno Aly Mampan, Camara Mariame, et al. Lymphedema: Anatomoclinical Aspects and Surgical Management at the Ignace Deen National Hospital of Conakry (Guinea). J Surg. 2022;10(5):184-186. doi: 10.11648/j.js.20221005.18

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  • @article{10.11648/j.js.20221005.18,
      author = {Kondano Saa Yawo and Fofana Naby and Bangoura Mohamed Saliou and Koundouno Aly Mampan and Camara Mariame and Diallo Mariama Cire and Guirassy Mariame and Camara Naby Laye Youssouf and Kamano Faya Anatole and Diallo Alseny and Oulare Ibrahima and Soumaoro Labile Togba and Toure Aboubacar and Diallo Aissatou Taran},
      title = {Lymphedema: Anatomoclinical Aspects and Surgical Management at the Ignace Deen National Hospital of Conakry (Guinea)},
      journal = {Journal of Surgery},
      volume = {10},
      number = {5},
      pages = {184-186},
      doi = {10.11648/j.js.20221005.18},
      url = {https://doi.org/10.11648/j.js.20221005.18},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.js.20221005.18},
      abstract = {Introduction: We aimed to report the anatomoclinical aspects and the management of lymphedema in the general surgery department at Ignace Deen National Hospital of Conakry (Guinea). Patients and methods: this was a retrospective study including consecutive patients with lymphoedema who were admitted and had surgery in our department during a period of 10 years (from January 2010 to December 2019). Results: during the ten years we collected 25 cases of lymphedema: 11 male and 14 females. The mean age of the patients was 45 years-old. The disease onset varies from 6 months to 18 years with a mean of 7.5 years. The lesions were predominantly in the limbs (76%) and in the genitalia (24%). The microfilaria test was negative. All patients received an anti-filarial drug (diethylcarbamazine) as a precautionary measure. The procedure consisted of resection of the lymphangiomatous tissue and a reconstruction plasty. After a 2-year follow-up we did not observe any case of recurrence. Conclusion: Lymphedema is a rare pathology in our environnement that occurs predominantly in the limbs and genitalia. This disease has a significant impact on the quality of life of patients, the functional, aesthetic and psychological repercussions. A well performed excisional surgery with reconstruction allow a satisfactory result.},
     year = {2022}
    }
    

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  • TY  - JOUR
    T1  - Lymphedema: Anatomoclinical Aspects and Surgical Management at the Ignace Deen National Hospital of Conakry (Guinea)
    AU  - Kondano Saa Yawo
    AU  - Fofana Naby
    AU  - Bangoura Mohamed Saliou
    AU  - Koundouno Aly Mampan
    AU  - Camara Mariame
    AU  - Diallo Mariama Cire
    AU  - Guirassy Mariame
    AU  - Camara Naby Laye Youssouf
    AU  - Kamano Faya Anatole
    AU  - Diallo Alseny
    AU  - Oulare Ibrahima
    AU  - Soumaoro Labile Togba
    AU  - Toure Aboubacar
    AU  - Diallo Aissatou Taran
    Y1  - 2022/10/28
    PY  - 2022
    N1  - https://doi.org/10.11648/j.js.20221005.18
    DO  - 10.11648/j.js.20221005.18
    T2  - Journal of Surgery
    JF  - Journal of Surgery
    JO  - Journal of Surgery
    SP  - 184
    EP  - 186
    PB  - Science Publishing Group
    SN  - 2330-0930
    UR  - https://doi.org/10.11648/j.js.20221005.18
    AB  - Introduction: We aimed to report the anatomoclinical aspects and the management of lymphedema in the general surgery department at Ignace Deen National Hospital of Conakry (Guinea). Patients and methods: this was a retrospective study including consecutive patients with lymphoedema who were admitted and had surgery in our department during a period of 10 years (from January 2010 to December 2019). Results: during the ten years we collected 25 cases of lymphedema: 11 male and 14 females. The mean age of the patients was 45 years-old. The disease onset varies from 6 months to 18 years with a mean of 7.5 years. The lesions were predominantly in the limbs (76%) and in the genitalia (24%). The microfilaria test was negative. All patients received an anti-filarial drug (diethylcarbamazine) as a precautionary measure. The procedure consisted of resection of the lymphangiomatous tissue and a reconstruction plasty. After a 2-year follow-up we did not observe any case of recurrence. Conclusion: Lymphedema is a rare pathology in our environnement that occurs predominantly in the limbs and genitalia. This disease has a significant impact on the quality of life of patients, the functional, aesthetic and psychological repercussions. A well performed excisional surgery with reconstruction allow a satisfactory result.
    VL  - 10
    IS  - 5
    ER  - 

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Author Information
  • Department of General Surgery, Ignace Deen National Hospital, University Hospital of Conakry, Conakry, Guinea

  • Department of General Surgery, Ignace Deen National Hospital, University Hospital of Conakry, Conakry, Guinea

  • Department of General Surgery, Ignace Deen National Hospital, University Hospital of Conakry, Conakry, Guinea

  • General Surgery Department, Kankan Regional Hospital, Kankan, Guinea

  • Department of General Surgery, Ignace Deen National Hospital, University Hospital of Conakry, Conakry, Guinea

  • Department of General Surgery, Ignace Deen National Hospital, University Hospital of Conakry, Conakry, Guinea

  • Department of General Surgery, Ignace Deen National Hospital, University Hospital of Conakry, Conakry, Guinea

  • Department of General Surgery, Ignace Deen National Hospital, University Hospital of Conakry, Conakry, Guinea

  • Department of General Surgery, Ignace Deen National Hospital, University Hospital of Conakry, Conakry, Guinea

  • Department of General Surgery, Ignace Deen National Hospital, University Hospital of Conakry, Conakry, Guinea

  • Department of General Surgery, Ignace Deen National Hospital, University Hospital of Conakry, Conakry, Guinea

  • Department of General Surgery, Ignace Deen National Hospital, University Hospital of Conakry, Conakry, Guinea

  • Department of General Surgery, Ignace Deen National Hospital, University Hospital of Conakry, Conakry, Guinea

  • Department of General Surgery, Ignace Deen National Hospital, University Hospital of Conakry, Conakry, Guinea

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