Use of a vacuum-assisted closure device in the repair of defect after enlarged excision of dermatofibrosarcoma protuberans

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Author:
CHEN Li(Department of Plastic Surgery, Sir Run Run Shaw Hospital, Zhejiang University, Hangzhou 310016, China)
LI Hua(Department of Plastic Surgery, Sir Run Run Shaw Hospital, Zhejiang University, Hangzhou 310016, China)
SHAO Yan(Department of Plastic Surgery, Sir Run Run Shaw Hospital, Zhejiang University, Hangzhou 310016, China)
Journal Title:
Chinese Journal of Dermatology
Issue:
Volume 45, Issue 09, 2012
DOI:
10.3760/cma.j.issn.0412-4030.2012.09.018
Key Word:

Abstract: Objective To develop a new method to repair the defect after enlarged excision of dermatofibrosarcoma protuberans.Methods This study included 8 patients with dermatofibrosarcoma protuberans measuring 2.5 to 5.5 cm in diameter.All the patients underwent enlarged excision of the affected skin and subcutaneous tissue.The defect measured 12.5 to 17.5 cm in diameter.Sieve skin flaps secured with a vacuum-assisted closure device were used to repair the huge surface defects.Results All the patients experienced the survival of sieve skin flaps at stage Ⅰ after operation,with no infection,effusion or necrosis.No relapse was observed during the 3 to 40 months of follow up.A satisfactory recovery was achieved in skin appearance and function with the formation of a flat scar,and no obvious proliferation occurred.Conclusion The vacuum-assisted closure device offers a safe and simple method for securing skin grafts to the defect after enlarged excision of dermatofibrosarcoma protuberans.

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