Role of faciotomy and lymphedema in the management of bacterial cellulitis/lymphangitis  one year observational study

Dr. S. Sivaprasad; Dr. Jayan Stephen; Dr. R Parameswaran Unnithan; Dr. Musafir

Volume : VI, Issue : III, March - 2017

Role of faciotomy and lymphedema in the management of bacterial cellulitis/lymphangitis one year observational study

Dr. S. Sivaprasad, Dr. Jayan Stephen, Dr. R Parameswaran Unnithan, Dr. Musafir

Abstract :

An observational study to look for the incidence of lymphedema in patients undergoing fasciotomy for cellulitis/lymphangitis and patients undergoing conservative management for the same. Here patients are followed up for about six months to look for persistent lymphedema. Study Subjects includes 83 patients undergoing fasciotomy for cellulitis/lymphangitis and Patients undergoing conservative management for cellulitis/lymphangitis. A semistructured questionnaire was developed to record the medical history and examination details. Among the 40 patients who underwent fasciotomy for cellulitis/lymphangitis, 7 patients[17.5%] developed persistent lymphedema at the end of 6 months and Among the 43 patients who underwent conservative management for cellulitis/lymphangitis,17 patients[39.5%]developed persistent lymphedema at the end of 6 months. Out of 83 patients in this study, 6 patients [7.2%] developed non healing ulcer. Among the 40 patients who underwent fasciotomy, 6 patients [15%] developed non healing ulcer by the end of 6 months.