[Giant lymphedema of the upper extremity. A case report]

The giant lymphoedema of upper limb still a difficult therapeutic problem. The authors report a case treated as a Charle's operation derived. They underline the operation's value. As they are experienced with the third-degree burned patients, they insist on the respect of the pre-muscular aponevrosis during the excision and how as possible it's better to take the split-thickness skin graft on the excised skin. Excision and graft are made during the same operation. They come back to the initial medical treatment and to the different surgical treatments.