The Charles procedure involves which of the following?

• A. Removal of Skin and Subcutaneous Tissue
• B. Removal of Bone
• C. Insertion of a Pump
• D. Ligation of Arteries

Answer: (A)

The main idea here is a radical debulking operation used for severe limb lymphedema. The Charles procedure removes the skin and subcutaneous tissue of the affected limb down to the deep fascia, with the goal of reducing the limb’s volume and restoring function. After the tissue is removed, the area is typically covered with skin grafts. It does not involve removing bone, inserting a pump, or tying off arteries, which are different kinds of procedures. This explains why removing skin and subcutaneous tissue is the correct description of the Charles procedure.