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Venous Flap Reconstruction following Wide Local Excision for Primary Cutaneous Malignancies in Extremities
Cutaneous malignancies in the extremities are relatively common, and radical treatment such as ray amputation was performed for certain advanced skin cancer cases in the past. The concept of surgical treatment of primary cutaneous malignant tumor has gradually changed, and preservation of the extrem...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Lippincott Williams & Wilkins
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8939925/ https://www.ncbi.nlm.nih.gov/pubmed/35350151 http://dx.doi.org/10.1097/GOX.0000000000004220 |
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author | Deguchi, Ayaka Motomura, Hisashi Hatano, Takaharu Fujikawa, Heishiro Maeda, Shusaku |
author_facet | Deguchi, Ayaka Motomura, Hisashi Hatano, Takaharu Fujikawa, Heishiro Maeda, Shusaku |
author_sort | Deguchi, Ayaka |
collection | PubMed |
description | Cutaneous malignancies in the extremities are relatively common, and radical treatment such as ray amputation was performed for certain advanced skin cancer cases in the past. The concept of surgical treatment of primary cutaneous malignant tumor has gradually changed, and preservation of the extremity by performing the appropriate excision and reconstruction became possible. Various reconstructive methods after the resection of malignant tumors such as skin grafts, local flaps, and free flaps, including perforator flaps have been noted. Due to limitations and some disadvantages of these reconstructive materials for extremities, the arterialized venous flap arose as an alternative method. The arterialized venous flap, which has arterial inflow through an afferent vein perfusing the flap and venous outflow through the efferent veins, is considered to function as a great reconstructive material for distal extremities. Although efficacy of this flap has been noted in the past, usage of the flap considering the oncological aspects and application of the flap to the toes and feet have never been reported. METHODS: Thirteen reconstructive cases from October 2005 to October 2016 using venous flaps after excision of primary cutaneous malignancy in the distal extremities were performed in our institution. RESULTS: For all cases, satisfactory functional and cosmetic outcomes were observed. CONCLUSIONS: Reconstruction using the arterialized venous flap is considered a reliable and versatile method. Careful application of this flap satisfies functional, cosmetic, and oncological aspects of all distal extremities with cutaneous malignancy. |
format | Online Article Text |
id | pubmed-8939925 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | Lippincott Williams & Wilkins |
record_format | MEDLINE/PubMed |
spelling | pubmed-89399252022-03-28 Venous Flap Reconstruction following Wide Local Excision for Primary Cutaneous Malignancies in Extremities Deguchi, Ayaka Motomura, Hisashi Hatano, Takaharu Fujikawa, Heishiro Maeda, Shusaku Plast Reconstr Surg Glob Open Reconstructive Cutaneous malignancies in the extremities are relatively common, and radical treatment such as ray amputation was performed for certain advanced skin cancer cases in the past. The concept of surgical treatment of primary cutaneous malignant tumor has gradually changed, and preservation of the extremity by performing the appropriate excision and reconstruction became possible. Various reconstructive methods after the resection of malignant tumors such as skin grafts, local flaps, and free flaps, including perforator flaps have been noted. Due to limitations and some disadvantages of these reconstructive materials for extremities, the arterialized venous flap arose as an alternative method. The arterialized venous flap, which has arterial inflow through an afferent vein perfusing the flap and venous outflow through the efferent veins, is considered to function as a great reconstructive material for distal extremities. Although efficacy of this flap has been noted in the past, usage of the flap considering the oncological aspects and application of the flap to the toes and feet have never been reported. METHODS: Thirteen reconstructive cases from October 2005 to October 2016 using venous flaps after excision of primary cutaneous malignancy in the distal extremities were performed in our institution. RESULTS: For all cases, satisfactory functional and cosmetic outcomes were observed. CONCLUSIONS: Reconstruction using the arterialized venous flap is considered a reliable and versatile method. Careful application of this flap satisfies functional, cosmetic, and oncological aspects of all distal extremities with cutaneous malignancy. Lippincott Williams & Wilkins 2022-03-22 /pmc/articles/PMC8939925/ /pubmed/35350151 http://dx.doi.org/10.1097/GOX.0000000000004220 Text en Copyright © 2022 The Authors. Published by Wolters Kluwer Health, Inc. on behalf of The American Society of Plastic Surgeons. https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution-Non Commercial-No Derivatives License 4.0 (CCBY-NC-ND) (https://creativecommons.org/licenses/by-nc-nd/4.0/) , where it is permissible to download and share the work provided it is properly cited. The work cannot be changed in any way or used commercially without permission from the journal. |
spellingShingle | Reconstructive Deguchi, Ayaka Motomura, Hisashi Hatano, Takaharu Fujikawa, Heishiro Maeda, Shusaku Venous Flap Reconstruction following Wide Local Excision for Primary Cutaneous Malignancies in Extremities |
title | Venous Flap Reconstruction following Wide Local Excision for Primary Cutaneous Malignancies in Extremities |
title_full | Venous Flap Reconstruction following Wide Local Excision for Primary Cutaneous Malignancies in Extremities |
title_fullStr | Venous Flap Reconstruction following Wide Local Excision for Primary Cutaneous Malignancies in Extremities |
title_full_unstemmed | Venous Flap Reconstruction following Wide Local Excision for Primary Cutaneous Malignancies in Extremities |
title_short | Venous Flap Reconstruction following Wide Local Excision for Primary Cutaneous Malignancies in Extremities |
title_sort | venous flap reconstruction following wide local excision for primary cutaneous malignancies in extremities |
topic | Reconstructive |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8939925/ https://www.ncbi.nlm.nih.gov/pubmed/35350151 http://dx.doi.org/10.1097/GOX.0000000000004220 |
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