Negative-Pressure Therapy for Pre-and Post-grafting after Wide Extirpation Excision of Melanoma of the Toe / 대한피부과학회지
Korean Journal of Dermatology
;
: 65-68, 2013.
Artigo
em Inglês
| WPRIM
| ID: wpr-82946
ABSTRACT
Surgical management of acral lentiginous melanoma on the toe poses a difficult challenge because of the lack of surrounding tissue. A full-thickness skin graft after excision may provide a good cosmetic outcome, but graft failure can occur due to limited blood flow of the toe and the thin skin covering over the deep fascia in the pressure bearing area may cause gait disturbance. A negative-pressure device can be beneficial for fixing the graft and stimulating the growth of granulation tissue. A 55-year-old woman diagnosed with malignant melanoma on the right third toe underwent wide excision, after which secondary intention healing was initiated using negative-pressure therapy. When the wound had regenerated enough granulation tissue after 2 weeks, a full-thickness skin graft was performed, which was secured with negative-pressure therapy. The graft was successfully taken after a week thereafter. Accordingly, the use of negative-pressure therapy in the surgical management of acral lentiginous melanoma may be a good option because it facilitates full-thickness skin graft survival in an avascular surface area and aids in the thickening of the pressure bearing area, where acral lentiginous melanoma is likely to occur.
Texto completo:
DisponíveL
Índice:
WPRIM (Pacífico Ocidental)
Assunto principal:
Pele
/
Ursidae
/
Dedos do Pé
/
Transplantes
/
Cosméticos
/
Intenção
/
Fáscia
/
Marcha
/
Sobrevivência de Enxerto
/
Tecido de Granulação
Limite:
Feminino
/
Humanos
Idioma:
Inglês
Revista:
Korean Journal of Dermatology
Ano de publicação:
2013
Tipo de documento:
Artigo
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