Retrospective evaluation of factors influencing successful skin grafting for patients with skin cancer of the foot

Goto, Hiroyuki; Yoshikawa, Shusuke; Mori, Keita; Otsuka, Masaki; Omodaka, Toshikazu; Yoshimi, Kosuke; Yoshida, Yuichi; Yamamoto, Osamu; Kiyohara, Yoshio

doi:10.1111/1346-8138.13866

Cited by 9 publications

(10 citation statements)

References 13 publications

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“…Local reconstruction techniques include the use of grafts and flaps [5]. Successful grafting requires adequate blood flow to the recipient site, immobilization of the skin graft, and prevention of fluid collection formation under the graft [30].…”

Section: Discussionmentioning

confidence: 99%

Surgery Associated with Radiotherapy for Treatment of Giant Squamous Cell Carcinoma in Hand

Mendes¹,

Ellinger²,

Souto³

et al. 2019

Arch Clin Med Case Rep

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Squamous cell carcinoma is the most common tumor in the hand, with actinic keratosis being its precursor lesion. It is a common tumor in light-skinned individuals with a history of excessive sun exposure and advanced age. It presents a wide variety of clinical forms, which can generate diagnostic doubt. The combination of clinical and pathological evaluations, together with detailed anamnesis, is the best way to achieve at the final diagnosis. The gold standard treatment for these tumors is surgical excision of the lesion with adequate safety margins; in some cases adjuvant radiotherapy is an excellent option. In this paper, we review the subject addressed and report the case of a patient with giant squamous cell carcinoma in one hand, with eight months of evolution, treated by surgical excision and adjuvant radiotherapy; the treatment was successful and preserved the motor function of the patient's hand.

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Section: Discussionmentioning

confidence: 99%

Surgery Associated with Radiotherapy for Treatment of Giant Squamous Cell Carcinoma in Hand

Mendes¹,

Ellinger²,

Souto³

et al. 2019

Arch Clin Med Case Rep

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“…Evidence Quality: Low Recommendation Strength: Option Recommendation 1: Rationale (Table 3) Reconstruction can be performed immediately following excision of a skin cancer, or reconstruction can be delayed until days, weeks, or even months later. [6][7][8][9][10][11][12][13][14] At least three studies of low to moderate quality have compared immediate to delayed reconstruction for relative functional and aesthetic outcomes. [6][7][8] A low-quality study found that a 1-month interval before reconstruction improved survival of grafts of the foot, 6 but a moderate-quality study of grafts at various anatomic locations detected no reduction in partial graft necrosis when reconstruction was delayed 1 to 8 days.…”

Section: Recommendationsmentioning

confidence: 99%

Evidence-based clinical practice guideline: Reconstruction after skin cancer resection

Chen¹,

Albertini²,

Bordeaux³

et al. 2021

Journal of the American Academy of Dermatology

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“…Optimal stabilization of the graft is essential to prevent skin graft loss. The tie-over technique is one of the most common methods for the stabilization of skin graft in Japan; 1 however, cases with significant graft loss due to insufficient graft stabilization sometimes occur, especially with large and/or muscleexposed skin defects.…”

Section: Introductionmentioning

confidence: 99%

A prospective, phase II study on the safety and efficacy of negative pressure closure for the stabilization of split‐thickness skin graft in large or muscle‐exposing defects: The NPSG study

Nakamura

Ishitsuka

Sasaki

et al. 2021

The Journal of Dermatology

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Several studies have demonstrated the usefulness of negative pressure closure (NPC) for the stabilization of skin grafts because it provides a uniform pressure to the graft.The results of our previous retrospective study also suggested the superiority of NPC over tie-over methods for the stabilization of split-thickness skin graft (STSG) in large or muscle-exposing defects. However, the usefulness of NPC for graft stabilization is yet to be fully established. This prospective, phase II clinical study was conducted to investigate the safety and efficacy of NPC for the stabilization of STSG in large or muscle-exposing defects. Patients who would require STSG for reconstruction of defects in the trunk and extremities other than hands and feet measuring >10 cm in the longest diameter or with muscle exposure were enrolled. NPC was applied for skin graft stabilization. Seven patients who had received wide excision of malignant tumors and resulted in muscleexposed skin defects were included. All patients underwent meshed STSG. The mean size of the defect was 94.5 cm 2 (range 63.6-164.9). The mean time from the skin graft harvesting to the NPC stabilization was 15.6 min (range 10.7-19.5). The mean survival rate of the skin graft at postoperative day 7 and 10 was 98.7% (range 97-100) and 96.5% (range 89.4-98.4), respectively. No adverse events associated with the procedure were observed. This prospective study provided further evidence of the safety and efficacy of NPC for STSG stabilization in patients with large or muscle-exposing skin defects.

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Retrospective evaluation of factors influencing successful skin grafting for patients with skin cancer of the foot

Cited by 9 publications

References 13 publications

Surgery Associated with Radiotherapy for Treatment of Giant Squamous Cell Carcinoma in Hand

Surgery Associated with Radiotherapy for Treatment of Giant Squamous Cell Carcinoma in Hand

Evidence-based clinical practice guideline: Reconstruction after skin cancer resection

A prospective, phase II study on the safety and efficacy of negative pressure closure for the stabilization of split‐thickness skin graft in large or muscle‐exposing defects: The NPSG study

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