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
Hauptverfasser: Wu, Minliang, Sun, Mengyan, Dai, Haiying, Xu, Jianguo, Wang, Xinwei, Guo, Rui, Wang, Yuchong, Xue, Chunyu
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container_end_page 978
container_issue 7
container_start_page 974
container_title Journal of surgical oncology
container_volume 119
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
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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 ; 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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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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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