Abstract：
CONCLUSIONS: A multi-disciplinary work group involving stakeholders from various backgrounds and societies was convened to develop guidelines for the management of reconstruction after skin cancer resection. The goal was to identify areas of common ground and provide evidence-based recommendations to improve patient care. Given the heterogeneity of reconstructive techniques and clinical scenarios, investigation centered around common elements in the process. In some cases, a distinction was made between treatment options in the office-based setting as opposed to those in the facility setting. A systematic literature review was performed, and an established appraisal process was used to rate the quality of relevant scientific research (Grading of Recommendations Assessment, Development, and Evaluation methodology). Final recommendations are related to concepts concerning the timing of reconstruction, management of anticoagulation, use of antibiotics, methods of pain control, and follow-up assessment. At times, there was insufficient evidence to make high-level recommendations. The literature analysis highlights the need for additional methodologically robust studies in this area, to help guide clinical practice.
摘要：
结论：召集了一个由不同背景和社会的利益相关者组成的多学科工作组，以制定皮肤癌切除术后重建管理指南。目标是确定共同点的领域，并提供基于证据的建议，以改善患者护理。鉴于重建技术和临床方案的异质性，调查围绕过程中的常见元素进行。在某些情况下,在基于办公室的环境中的治疗方案与在设施环境中的治疗方案之间进行了区分。进行了系统的文献综述，并使用既定的评估程序对相关科学研究的质量进行评级(建议评估的分级，发展,和评估方法)。最后建议涉及重建时间的概念，抗凝管理,使用抗生素，控制疼痛的方法,和后续评估。有时,没有足够的证据提出高级别建议.文献分析强调了在这一领域需要额外的方法学上稳健的研究，帮助指导临床实践。
