479 Vaccum-Assisted Closure Therapy in Split-Thickness Skin Graft on the Wound on the Contours of the Body

Pyo, Seung Bum; Joo, Hong Sil

doi:10.1093/jbcr/irz013.373

Cited by 1 publication

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“…The defect required a tissue that is larger than a pedicled LDMC flap, but a bilateral LDMC flap would have led to the compression of one flap while the other side was being harvested. Negative pressure wound therapy with skin graft is usually suitable for anterior chest defect [5] but was inadequate in our case as the patient had to undergo adjuvant therapy and had less time to tolerate delayed wound healing or cancer penetration through the graft. Hence, solid tissue coverage using free tissue transfer was decided.…”

Section: Discussionmentioning

confidence: 94%

Surgical treatment of extensive and multiple skin cancers via excision and reconstruction using multiple flaps: a case report

Lee,

Lee

2024

Arch Hand Microsurg

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A 47-year-old male patient presented with multiple squamous and basal cell carcinomas on the anterior chest, back, and left cheek. The patient experienced odorous discharge from the tumors. Surgical excision was planned, beginning with the anterior chest squamous cell carcinoma. An extensive 32×30 cm cutaneous defect was created, which was covered by a bilateral deep inferior epigastric perforator and pedicled latissimus dorsi myocutaneous flaps. The basal cell carcinomas on the back and squamous cell carcinoma on the left cheek were serially excised, after which the left cheek wound required flap coverage. Postoperative complications such as venous thrombosis and infection led to several reoperations, yet the extensive defect was successfully reconstructed. No local recurrence developed during 31 months of follow-up. We report this case to demonstrate that although the wide excision of very large skin cancers may result in extensive and challenging defects as large as 5.8% of the total body surface area, coverage with appropriate flaps may lead to successful oncologic outcomes and improve the patient’s quality of life.

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Section: Discussionmentioning

confidence: 94%