关键词: Keystone design perforator island flap Perianal region Reconstruction Tumor resection

来  源:   DOI:10.1016/j.heliyon.2024.e28254   PDF(Pubmed)

Abstract:
UNASSIGNED: The large resection area of perianal tumor makes the skin defect hard to reconstruct. The keystone flap has demonstrated a growing application in skin defects. Herein, we aimed to explore the efficacy of keystone flap in the repair of skin defect after perianal tumor resection.
UNASSIGNED: This study is a retrospective review of patients diagnosed with perianal tumor from January 2010 to November 2021. A standardized data collection template was used to collect variables. The detailed process of the reconstructive surgery is carefully described in this article. After surgery, the healing process was closely observed.
UNASSIGNED: Twenty patients underwent keystone flap repair. The average wound size before closure measured 3.5 × 4.9 cm2. Primary wound healing was achieved, and the flap survived during the follow up period, which ranged from 6 to 24 months. No severe complications occurred; slight edema was noticed in one patient.
UNASSIGNED: The application of keystone flap is a promising way to repair skin defect after tumor removal, and the complications rate was low after surgery. It can be concluded that this method is an effective and reliable way to repair perianal skin defect.
摘要:
肛周肿瘤切除面积大,皮肤缺损难以重建。梯形皮瓣已证明在皮肤缺陷中的应用越来越多。在这里,目的探讨keystone皮瓣修复肛周肿瘤术后皮肤缺损的疗效。
本研究是对2010年1月至2021年11月诊断为肛周肿瘤的患者的回顾性回顾。使用标准化的数据收集模板来收集变量。本文仔细描述了重建手术的详细过程。手术后,密切观察愈合过程。
20例患者接受梯形皮瓣修复。闭合前的平均伤口大小测量为3.5×4.9cm2。主要伤口愈合,皮瓣在随访期间存活下来,从6到24个月不等。无严重并发症发生,1例患者出现轻度水肿。
应用keystone皮瓣是修复肿瘤切除后皮肤缺损的一种有前途的方法,术后并发症发生率低。可以得出结论,该方法是一种有效,可靠的修复肛周皮肤缺损的方法。
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