Massive localized lymphedema

(A) Patient with severe fibrotic primary lower extremity lymphedema with 14.2 liter volume excess.
(B) Outcome following first-stage direct excision using a modification of Homan's technique with indocyanine green fluorescent lymphography to preserve functional lymphatics.

From: Schaverien MV, Coroneos CJ. Surgical treatment of lymphedema. Plast Reconstr Surg 2019; 144:738. DOI: 10.1097/PRS.0000000000005993. Copyright © 2019 American Society of Plastic Surgeons. Reproduced with permission from Wolters Kluwer Health. Unauthorized reproduction of this material is prohibited.

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Massive localized lymphedema