scholarly journals Case Report Local skin flap with vacuum-seal drainage to facilitate healing of ACS

2015 ◽  
Vol 14 (2) ◽  
pp. 2953-2957
Author(s):  
R.B. Luo ◽  
Y.A. Xu ◽  
H.M. Zhong ◽  
Y.F. Zhang
2021 ◽  
Vol 15 (1) ◽  
Author(s):  
A. Triki ◽  
M. Aloui ◽  
M. Ghalleb ◽  
I. Jbir ◽  
Ben Naceur ◽  
...  

Abstract Background Darier–Ferrand dermatofibrosarcoma (DFS) is a rare malignant cutaneous neoplasm characterized by local aggressiveness, high risk of recurrence, and low metastatic potential. Case presentation A 60-year-old Tunisian man with recurrent abdominopelvic DFS for which he had undergone multiple excisions presented with an extensive DFS that invaded the external genitals. He underwent a large excision with emasculation and thin cutaneous graft of the abdominal wall and local skin flap in the pelvis. Conclusion DFS is a rare yet recurrent skin tumor. Wide excision with free margins remains the cornerstone of treatment. We report a case of a giant DFS treated with wide excision and reconstructive surgery to cover the defect.


2015 ◽  
Vol 68 (2) ◽  
pp. 97-102
Author(s):  
Takeshi Ueda ◽  
Shinji Nakamura ◽  
Fumikazu Koyama ◽  
Tadashi Nakagawa ◽  
Naoto Nishigori ◽  
...  

2022 ◽  
Vol 12 (1) ◽  
pp. 87-91
Author(s):  
Lucretya Yeniwati Tanuwijaya ◽  
Agus Roy Rusly Hariantana Hamid ◽  
I Gusti Putu Hendra Sanjaya

Background: Acquired syndactyly is a very rare disorder on the interdigital area. Syndactyly with only soft tissue involvement can be a sequela of trauma, such as burn, inflammation or infection in the interdigital area, resulting in bony fusion following crush injury. Case Report: An 8-year-old boy came to our department with fusion from the base to the tip of the first to fourth right toes since the accidental step on burnt plastic 5 years ago. He complained of a poor appearance and discomfort when walking. Then we performed zigzag incision for first to second toes and third to fourth toes. Skin graft closure was performed to cover the defect on third to fourth toes. The second reconstruction surgery will be scheduled 6 months later. Discussion: The surgical techniques for foot syndactyly were derived from those for hand syndactyly, which are to separate the digital fusion by creating local skin flap. Additionally, skin graft might be necessary when recent surgeons avoid the use of skin graft for open treatment, primary closure by defatting, or intricate local flaps. These can shorten the operation time and minimize donor site morbidity. However, surgeons should consider the free tension closure of the wound by combining the skin graft after the flap. Conclusion: Reconstruction procedure for foot syndactyly aims to improve the appearance and function of the toes as well as to avoid progressive deformity through development. The skin graft addition in combination of skin flap shows promising outcome. Key words: acquired syndactyly, syndactyly reconstruction, zigzag flap, skin graft.


Heart Asia ◽  
2019 ◽  
Vol 11 (1) ◽  
pp. e011086 ◽  
Author(s):  
Raja Tiwari ◽  
Shruti Marwah ◽  
Ambuj Roy ◽  
Maneesh Singhal

ObjectiveExposure of implantable electrical devices may increase morbidity and mortality significantly. Usually superficial infections are conservatively managed whereas invasive infections necessitate complete capsulectomy, sub-pectoral placement or implant exchange. Most commonly inadequate soft tissue coverage, soft tissue thinning and scar dehiscence over the edge of the pacemaker are the primary predisposing event. Multiple local surgical options have been described, however, with all these designs, the final scar still remains over the edge of the pacemaker and continue to have a tendency of thinning out with time. We have described a local skin flap which can be de-epithelialized and partially buried under the skin to increase the thickness over the pacemaker edge, thereby preventing further recurrence.MethodsThree patients admitted in the Cardiology Department presented with impending exposure (n=2)and exposed implant (n=1) over the edge of pacemaker with superficial infection. Local modified rotation skin flap which was de-epithelialized and partially buried under the skin to increase the thickness over the pacemaker edge was performed under local anaesthesia in all the cases.ResultsFlaps settled well in all patients with no evidence of infection, scar dehiscence and recurrence over a follow-up period of 2 years.ConclusionsThis flap technique is recommended for cases of impending pacemaker exposure resulting due to scar dehiscence over the edge and helps by addressing the predisposing factors at an initial stage. In our experience, this technique also helped to salvage exposed pacemaker with superficial infection. To our bestof knowledge this technique has not been described before in the literature.


1981 ◽  
Vol 34 (1) ◽  
pp. 44-46 ◽  
Author(s):  
D.A. McGrouther ◽  
T.S. Chan ◽  
P.A. Downie ◽  
L. Sully ◽  
M.H.C. Webster

Skin Cancer ◽  
2009 ◽  
Vol 24 (3) ◽  
pp. 397-402
Author(s):  
Syusuke YOSHIKAWA ◽  
Jun NAKAURA ◽  
Keitaroh FUKUDA ◽  
Dai OGATA ◽  
Teruki KATAOKA ◽  
...  

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