The application of keystone flap combined with vacuum‐assisted closure in the repair of sacrococcygeal skin defect after tumor resection
Objective We aimed to explore the efficacy of keystone flap combined with vacuum‐assisted closure (VAC) in the repair of sacrococcygeal wounds. Methods This study is a retrospective review of patients undergoing keystone flap reconstruction between January 2014 and January 2018. A standardized data...
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Veröffentlicht in: | Journal of surgical oncology 2019-06, Vol.119 (7), p.974-978 |
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container_title | Journal of surgical oncology |
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creator | Wu, Minliang Sun, Mengyan Dai, Haiying Xu, Jianguo Wang, Xinwei Guo, Rui Wang, Yuchong Xue, Chunyu |
description | Objective
We aimed to explore the efficacy of keystone flap combined with vacuum‐assisted closure (VAC) in the repair of sacrococcygeal wounds.
Methods
This study is a retrospective review of patients undergoing keystone flap reconstruction between January 2014 and January 2018. A standardized data collection template was used to collect related variables. The detailed process of the reconstructive surgery is carefully described in this study. The postoperative healing process was closely observed.
Results
Twelve patients underwent keystone flap repair between January 2014 and January 2018. The average wound size before closure measured 7.83 ± 1.93 × 5.28 ± 0.91 cm. All the patients achieved primary wound healing and the flaps survived during the follow‐up period, which ranged from 1 to 24 months. No severe complications and obvious scar appeared, and the patients were satisfied with both appearance and function.
Conclusions
The application of keystone flap combined with VAC is a promising way to repair wounds in the sacrococcygeal region with little postoperative complication and similar soft‐tissue thickness to the surrounding tissue. |
doi_str_mv | 10.1002/jso.25397 |
format | Article |
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We aimed to explore the efficacy of keystone flap combined with vacuum‐assisted closure (VAC) in the repair of sacrococcygeal wounds.
Methods
This study is a retrospective review of patients undergoing keystone flap reconstruction between January 2014 and January 2018. A standardized data collection template was used to collect related variables. The detailed process of the reconstructive surgery is carefully described in this study. The postoperative healing process was closely observed.
Results
Twelve patients underwent keystone flap repair between January 2014 and January 2018. The average wound size before closure measured 7.83 ± 1.93 × 5.28 ± 0.91 cm. All the patients achieved primary wound healing and the flaps survived during the follow‐up period, which ranged from 1 to 24 months. No severe complications and obvious scar appeared, and the patients were satisfied with both appearance and function.
Conclusions
The application of keystone flap combined with VAC is a promising way to repair wounds in the sacrococcygeal region with little postoperative complication and similar soft‐tissue thickness to the surrounding tissue.</description><identifier>ISSN: 0022-4790</identifier><identifier>EISSN: 1096-9098</identifier><identifier>DOI: 10.1002/jso.25397</identifier><identifier>PMID: 30714165</identifier><language>eng</language><publisher>United States: Wiley Subscription Services, Inc</publisher><subject>Adult ; Aged ; Bowen's Disease - pathology ; Bowen's Disease - surgery ; Cancer surgery ; Carcinoma, Basal Cell - pathology ; Carcinoma, Basal Cell - surgery ; Carcinoma, Squamous Cell - pathology ; Carcinoma, Squamous Cell - surgery ; Dermatofibrosarcoma - pathology ; Dermatofibrosarcoma - surgery ; Female ; Humans ; keystone design perforator island flap ; Male ; Middle Aged ; Negative-Pressure Wound Therapy - methods ; Postoperative period ; Reconstructive surgery ; Reconstructive Surgical Procedures ; Retrospective Studies ; sacrococcygeal region ; Sacrococcygeal Region - pathology ; Sacrococcygeal Region - surgery ; Skin Neoplasms - pathology ; Skin Neoplasms - surgery ; Surgical Flaps ; tumor ; Tumors ; vacuum‐assisted closure ; Wound healing ; wound repair</subject><ispartof>Journal of surgical oncology, 2019-06, Vol.119 (7), p.974-978</ispartof><rights>2019 Wiley Periodicals, Inc.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3537-1ffb807e4108655bab669ee9b4e715c376ad02e9f0c21cbc1db3a556ebb06d263</citedby><cites>FETCH-LOGICAL-c3537-1ffb807e4108655bab669ee9b4e715c376ad02e9f0c21cbc1db3a556ebb06d263</cites><orcidid>0000-0001-5094-5553</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1002%2Fjso.25397$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1002%2Fjso.25397$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>315,781,785,1418,27929,27930,45579,45580</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/30714165$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Wu, Minliang</creatorcontrib><creatorcontrib>Sun, Mengyan</creatorcontrib><creatorcontrib>Dai, Haiying</creatorcontrib><creatorcontrib>Xu, Jianguo</creatorcontrib><creatorcontrib>Wang, Xinwei</creatorcontrib><creatorcontrib>Guo, Rui</creatorcontrib><creatorcontrib>Wang, Yuchong</creatorcontrib><creatorcontrib>Xue, Chunyu</creatorcontrib><title>The application of keystone flap combined with vacuum‐assisted closure in the repair of sacrococcygeal skin defect after tumor resection</title><title>Journal of surgical oncology</title><addtitle>J Surg Oncol</addtitle><description>Objective
We aimed to explore the efficacy of keystone flap combined with vacuum‐assisted closure (VAC) in the repair of sacrococcygeal wounds.
Methods
This study is a retrospective review of patients undergoing keystone flap reconstruction between January 2014 and January 2018. A standardized data collection template was used to collect related variables. The detailed process of the reconstructive surgery is carefully described in this study. The postoperative healing process was closely observed.
Results
Twelve patients underwent keystone flap repair between January 2014 and January 2018. The average wound size before closure measured 7.83 ± 1.93 × 5.28 ± 0.91 cm. All the patients achieved primary wound healing and the flaps survived during the follow‐up period, which ranged from 1 to 24 months. No severe complications and obvious scar appeared, and the patients were satisfied with both appearance and function.
Conclusions
The application of keystone flap combined with VAC is a promising way to repair wounds in the sacrococcygeal region with little postoperative complication and similar soft‐tissue thickness to the surrounding tissue.</description><subject>Adult</subject><subject>Aged</subject><subject>Bowen's Disease - pathology</subject><subject>Bowen's Disease - surgery</subject><subject>Cancer surgery</subject><subject>Carcinoma, Basal Cell - pathology</subject><subject>Carcinoma, Basal Cell - surgery</subject><subject>Carcinoma, Squamous Cell - pathology</subject><subject>Carcinoma, Squamous Cell - surgery</subject><subject>Dermatofibrosarcoma - pathology</subject><subject>Dermatofibrosarcoma - surgery</subject><subject>Female</subject><subject>Humans</subject><subject>keystone design perforator island flap</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Negative-Pressure Wound Therapy - methods</subject><subject>Postoperative period</subject><subject>Reconstructive surgery</subject><subject>Reconstructive Surgical Procedures</subject><subject>Retrospective Studies</subject><subject>sacrococcygeal region</subject><subject>Sacrococcygeal Region - pathology</subject><subject>Sacrococcygeal Region - surgery</subject><subject>Skin Neoplasms - pathology</subject><subject>Skin Neoplasms - surgery</subject><subject>Surgical Flaps</subject><subject>tumor</subject><subject>Tumors</subject><subject>vacuum‐assisted closure</subject><subject>Wound healing</subject><subject>wound repair</subject><issn>0022-4790</issn><issn>1096-9098</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2019</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1kb9uFDEQhy0EIkeg4AWQJRooNhl71_a5RBF_FSkFobZs7yzxZXe92F6i66ipeEaeBIcLFEhUlsbffDP2j5CnDE4YAD_d5XjCRavVPbJhoGWjQW_vk029402nNByRRznvAEBr2T0kRy0o1jEpNuT75RVSuyxj8LaEONM40Gvc5xJnpMNoF-rj5MKMPb0J5Yp-tX5dp5_ffticQy617MeY14Q0zLRUV8LFhnSrydan6KP3-89oR5qvK9HjgL5QOxRMtKxTTLUh11Id_Zg8GOyY8cndeUw-vXl9efauOb94-_7s1XnjW9Gqhg2D24LCjsFWCuGsk1IjatehYsK3StoeOOoBPGfeeda71goh0TmQPZftMXlx8C4pflkxFzOF7HEc7YxxzYYzpeunCaYq-vwfdBfXNNftDOcchBIgRaVeHqj63pwTDmZJYbJpbxiY24BMDcj8Dqiyz-6Mq5uw_0v-SaQCpwfgJoy4_7_JfPh4cVD-AlLQncM</recordid><startdate>20190601</startdate><enddate>20190601</enddate><creator>Wu, Minliang</creator><creator>Sun, Mengyan</creator><creator>Dai, Haiying</creator><creator>Xu, Jianguo</creator><creator>Wang, Xinwei</creator><creator>Guo, Rui</creator><creator>Wang, Yuchong</creator><creator>Xue, Chunyu</creator><general>Wiley Subscription Services, Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>K9.</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0001-5094-5553</orcidid></search><sort><creationdate>20190601</creationdate><title>The application of keystone flap combined with vacuum‐assisted closure in the repair of sacrococcygeal skin defect after tumor resection</title><author>Wu, Minliang ; Sun, Mengyan ; Dai, Haiying ; Xu, Jianguo ; Wang, Xinwei ; Guo, Rui ; Wang, Yuchong ; Xue, Chunyu</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3537-1ffb807e4108655bab669ee9b4e715c376ad02e9f0c21cbc1db3a556ebb06d263</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2019</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Bowen's Disease - pathology</topic><topic>Bowen's Disease - surgery</topic><topic>Cancer surgery</topic><topic>Carcinoma, Basal Cell - pathology</topic><topic>Carcinoma, Basal Cell - surgery</topic><topic>Carcinoma, Squamous Cell - pathology</topic><topic>Carcinoma, Squamous Cell - surgery</topic><topic>Dermatofibrosarcoma - pathology</topic><topic>Dermatofibrosarcoma - surgery</topic><topic>Female</topic><topic>Humans</topic><topic>keystone design perforator island flap</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Negative-Pressure Wound Therapy - methods</topic><topic>Postoperative period</topic><topic>Reconstructive surgery</topic><topic>Reconstructive Surgical Procedures</topic><topic>Retrospective Studies</topic><topic>sacrococcygeal region</topic><topic>Sacrococcygeal Region - pathology</topic><topic>Sacrococcygeal Region - surgery</topic><topic>Skin Neoplasms - pathology</topic><topic>Skin Neoplasms - surgery</topic><topic>Surgical Flaps</topic><topic>tumor</topic><topic>Tumors</topic><topic>vacuum‐assisted closure</topic><topic>Wound healing</topic><topic>wound repair</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Wu, Minliang</creatorcontrib><creatorcontrib>Sun, Mengyan</creatorcontrib><creatorcontrib>Dai, Haiying</creatorcontrib><creatorcontrib>Xu, Jianguo</creatorcontrib><creatorcontrib>Wang, Xinwei</creatorcontrib><creatorcontrib>Guo, Rui</creatorcontrib><creatorcontrib>Wang, Yuchong</creatorcontrib><creatorcontrib>Xue, Chunyu</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of surgical oncology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Wu, Minliang</au><au>Sun, Mengyan</au><au>Dai, Haiying</au><au>Xu, Jianguo</au><au>Wang, Xinwei</au><au>Guo, Rui</au><au>Wang, Yuchong</au><au>Xue, Chunyu</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The application of keystone flap combined with vacuum‐assisted closure in the repair of sacrococcygeal skin defect after tumor resection</atitle><jtitle>Journal of surgical oncology</jtitle><addtitle>J Surg Oncol</addtitle><date>2019-06-01</date><risdate>2019</risdate><volume>119</volume><issue>7</issue><spage>974</spage><epage>978</epage><pages>974-978</pages><issn>0022-4790</issn><eissn>1096-9098</eissn><abstract>Objective
We aimed to explore the efficacy of keystone flap combined with vacuum‐assisted closure (VAC) in the repair of sacrococcygeal wounds.
Methods
This study is a retrospective review of patients undergoing keystone flap reconstruction between January 2014 and January 2018. A standardized data collection template was used to collect related variables. The detailed process of the reconstructive surgery is carefully described in this study. The postoperative healing process was closely observed.
Results
Twelve patients underwent keystone flap repair between January 2014 and January 2018. The average wound size before closure measured 7.83 ± 1.93 × 5.28 ± 0.91 cm. All the patients achieved primary wound healing and the flaps survived during the follow‐up period, which ranged from 1 to 24 months. No severe complications and obvious scar appeared, and the patients were satisfied with both appearance and function.
Conclusions
The application of keystone flap combined with VAC is a promising way to repair wounds in the sacrococcygeal region with little postoperative complication and similar soft‐tissue thickness to the surrounding tissue.</abstract><cop>United States</cop><pub>Wiley Subscription Services, Inc</pub><pmid>30714165</pmid><doi>10.1002/jso.25397</doi><tpages>5</tpages><orcidid>https://orcid.org/0000-0001-5094-5553</orcidid></addata></record> |
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source | MEDLINE; Access via Wiley Online Library |
subjects | Adult Aged Bowen's Disease - pathology Bowen's Disease - surgery Cancer surgery Carcinoma, Basal Cell - pathology Carcinoma, Basal Cell - surgery Carcinoma, Squamous Cell - pathology Carcinoma, Squamous Cell - surgery Dermatofibrosarcoma - pathology Dermatofibrosarcoma - surgery Female Humans keystone design perforator island flap Male Middle Aged Negative-Pressure Wound Therapy - methods Postoperative period Reconstructive surgery Reconstructive Surgical Procedures Retrospective Studies sacrococcygeal region Sacrococcygeal Region - pathology Sacrococcygeal Region - surgery Skin Neoplasms - pathology Skin Neoplasms - surgery Surgical Flaps tumor Tumors vacuum‐assisted closure Wound healing wound repair |
title | The application of keystone flap combined with vacuum‐assisted closure in the repair of sacrococcygeal skin defect after tumor resection |
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