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allied
academies
Joint Event
February 21-22, 2019 | Paris, France
Microbiology & Applied
Microbiology
2nd International Conference on World Congress on
Wound Care, Tissue Repair
and Regenerative Medicine
&
Journal of Trauma and Critical Care | Volume 3
Lymphedema stage III with ulcus: What must/can we do? (case report)
Tanja Planinsek Rucigaj
University Medical Centre Ljubljana, Slovenia
A61-year-old patient had damaged a left leg in an accident
with a motor. When treatment was complete the left shin
was not sufficiently vascularized. Due to an injury, swelling of
the left leg with ulcers began to occur. The compression therapy
was not possible, since the ankle brachial index was below 0.5,
the swelling has increased, and erysipelas were appearing. On
the fourth treatment with penicillin, the patient developed
an allergic reaction to this antibiotic. The pain in the left legs
increased. Since revascularization was not possible, and with
insufficient compression therapy of left swollen leg, the
question of eventual amputation of left leg above the knee was
appeared. The transplantation of lymph nodes from the left
axilla to the left popliteal fossa was performed. The edema of
the left lower leg was softened andmore reduced when patient
start to walk, which was restricted due the pain before the
surgical therapy. During thewalking patient tolerates preventive
stockings. At the site of the removal of the lymph nodes on the
left thorax a contracture appeared. A limited mobility of the left
arm is after physical therapy almost 100%. The erysipelas did
not appear anymore.
Speaker Biography
Tanja Planinsek Rucigaj is dermatovenerologist from 2001. In 2003, she was elected for
the assistant to the subject of dermatovenerology on Medical Faculty in Ljubljana. Since
2009, she is a lecturer at the College of Health Care Jesenice, now faculty of Health Angela
Boskin. In 2015, she was finished two years study of lymphology at European e-Lymph
school. Since April 2009, she is a head of Dermatovenerology Clinic, University Medical
Centre Ljubljana. She completed her PhD in October 2018. From 2006-2014, she was the
president of the Association of Slovenian Dermatovenerologists. Since 2008, she is a vice
president of Balkan Venous Forum. Between 2011-2015, she was a president of Wound
Management Association Slovenia, then as a vice-president till Jan 2017. From 2016, she
is a president of Slovenian Association of Phlebology and Lymphology. She has more than
600 entries in Co-operative Online Bibliographic System/Servis and her publications have
been cited over 140 times.
e:
Tanja Planinsek Rucigaj, J Trauma Crit Care, Volume 3
DOI: 10.4066/2591-7358-C1-002