Skin Graft Techniques

Khan, Arshad Ahmed; Khan, Isra; Nguyen, Phi P.; Lo, Erwin; Chahadeh, Hassan; Cerniglia, Mathew W.; Noriega, James A.

doi:10.1016/j.cpm.2020.07.007

Cited by 28 publications

(29 citation statements)

References 21 publications

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“…Unfortunately, a large incision is needed to achieve a sufficient negative resection margin, and post-operative wound coverage has become a key issue [ 25 ]. Conventional skin grafting significantly affects the post-operative appearance and morphology, and these grafts have a poor tolerance of post-operative radiotherapy and a risk of serious radiation ulcers [ 26 ]. However, flap-based reconstruction is safe for post-operative radiotherapy and is often used to manage radiation ulcers.…”

Section: Discussionmentioning

confidence: 99%

“…In our cases, rapid pathological examination was performed to confirm the negative surgical margins. The results indicated that skin grafting alone would not be an appropriate option, especially given the limited tolerance of these flaps to radiotherapy [ 26 ]. The rectus abdominis flap is also fairly close to the related defect, although damage to the blood supply during removal of the anterior rectus sheath and muscle might compromise its use in this setting [ 36 ].…”

Section: Discussionmentioning

confidence: 99%

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Latissimus dorsi myocutaneous flap repair is effective after neoadjuvant chemotherapy for locally advanced breast cancer

Yang

et al. 2022

World J Surg Onc

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Objective To describe the clinical outcome and physical condition of patients with locally advanced breast cancer (LABC) who received neoadjuvant chemotherapy followed by mastectomy and latissimus dorsi myocutaneous flap repair. Methods A retrospective review of 142 patients with locally advanced breast cancer was selected from 1156 breast cancer patients in the South and North areas of The Affiliated Calmette Hospital of Kunming Medical University between May 2008 and December 2018. Results All participants (n = 142) were women aged 40–55 years (average age 47.35 ± 0.43 years) who received neoadjuvant chemotherapy followed by mastectomy and latissimus dorsi flap repair. The median follow-up period was 16 months (range 12–24 months). For stage of disease, there were 19 cases (13%) in stage IIB, 31 cases (22%) in stage IIIA, 39 cases (28%) in stage IIIB, and 53 cases (37%) in stage IIIC, which were statistically significant with the physical condition of patients (≤ 0.001). Neoadjuvant chemotherapy was administered to shrink the tumors, and an average tumor size decrease from 10.05 ± 1.59 cm × (8.07 ± 1.54) cm to 6.11 ± 1.72 cm × (3.91 ± 1.52) cm (P < 0.001) was considered statistically significant. A t test was used for the ECOG score statistics, and the results showed that the scores were statistically significant (≤ 0.001) before and after neoadjuvant chemotherapy and after surgery. Conclusions Neoadjuvant chemotherapy is an accepted treatment option for patients with locally advanced breast cancer, and the use of a latissimus dorsi musculocutaneous flap for post-mastectomy reconstruction may improve the patients’ physical condition. Our results indicated that this strategy was safe and feasible.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Latissimus dorsi myocutaneous flap repair is effective after neoadjuvant chemotherapy for locally advanced breast cancer

Yang

et al. 2022

World J Surg Onc

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“…In recent years, people have paid more and more attention to beauty, and the healing of various small wounds has attracted more and more attention. 1 If there is no intervention, only a simple dressing change may end up with a large scar on the affected area, which will affect the function, and at the same time, the infection may become worse or even difficult to heal. Such wounds routinely require surgery such as abdominal embedment, skin grafting or skin flap transfer to avoid aggravation of infection, heal the wound, and restore the function of the affected area.…”

Section: Introductionmentioning

confidence: 99%

Analysis of the Effect of Wound-Edge Microgranular Skin Grafting in the Treatment of Various Small Wounds

Chen¹,

Lin²,

Cui³

et al. 2022

CCID

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“…Skin grafts are a widely known and used technique in the field of plastic surgery. 1 According to the International Burn Injury Database, there are 1000 skin grafts in patients with burns per year in England. 2 The most common cause of skin graft failure is hematoma, followed by infection, seroma, and the presence of shearing forces.…”

mentioning

confidence: 99%

“…2 The most common cause of skin graft failure is hematoma, followed by infection, seroma, and the presence of shearing forces. 1 Numerous methods for fixation with tie-over bolster, negative pressure, tissue glue, and others are found in the literature because immobilization is essential to prevent graft loss. 3 However, there is a high rate of graft loss that is still unreported.…”

mentioning

confidence: 99%