Evidence map›Paper›PMID 41523866›Full record

ArticleThe Pan African medical journal2025

[Results and limitations in surgery for Lipedema, Lymphedema and Elephantiasis of the lower limbs in a resource-limited country: Democratic Republic of Congo, 2010 to 2025].

Anatole Kibadi-Kapay

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Article in The Pan African medical journal, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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4 · The record

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5 · Who and what money

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1 author.

Anatole Kibadi-KapayService de Chirurgie Plastique Reconstructive, Esthétique et Chirurgie de la Main, Cliniques Universitaires de Kinshasa, Faculté de Médecine, Université de Kinshasa, Kinshasa, République Démocratique du Congo.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

This study aims to present the results and limitations of surgery for lower limb lipoedema and lymphedema in a resource-limited surgical setting. This was a cross-sectional, analytical, prospective, in-hospital study covering 15 years. We surgically treated 119 patients, including 18 with lipoedema (15.1%), 69 with stage 2 lymphedema (57.9%), and 32 with elephantiasis (26.9%). We included 81 women (68%) and 38 men (31.9%). The majority (57.7%) of patients with lymphedema were between 30 and 49 years of age. Plastic and excisional surgery was performed in 42.2% of patients with stage 2 lymphedema and in 87.5% with stage 3 (elephantiasis). Lipoedema surgery consisted primarily of liposuction (77.7%). No lymphatic network reconstruction was performed. Our results, at 2 years' post-surgery, were very satisfactory, with limb symmetry in 83.3% of patients operated on for lipoedema, in 84.2% of patients operated on for stage 2 lymphedema, and in 85% of patients operated on for elephantiasis. Surgery for lower limb lipoedema, lymphedema, and elephantiasis is feasible in a resource-limited setting, although challenges remain. The lack of lymphatic network reconstruction constitutes our limitations. Microsurgery is necessary for optimal results.

Indexed as

ElephantiasisLipectomyLipedemaLymphedemaAdolescentAdultAgedCross-Sectional StudiesDemocratic Republic of the CongoFemaleFollow-Up StudiesHumansLower ExtremityMaleMiddle AgedProspective StudieselephantiasisLipoedemalower limbslymphedemaresource-limited countriessurgery

Identifiers

PMID41523866
PMCPMC12790389

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