| Jia Shi,Min Gao,Haijun Zhu,Weiwei Lu. One-stage limb Pelnac? reconstruction after removal of skin cancer: safety, efficacy, and aesthetic outcomes. Oncol Transl Med, 2022, 8: 196-200. |
| One-stage limb Pelnac? reconstruction after removal of skin cancer: safety, efficacy, and aesthetic outcomes |
| Received:May 10, 2022 Revised:August 01, 2022 |
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| KeyWord:skin cancer; Pelnac?; large-scale skin reconstruction |
| Author Name | Affiliation | E-mail | | Jia Shi | The Central Hospital of Wuhan, Tongji medical college,Huazhong University of science and Technololy | 1990sj1025@163.com | | Min Gao | The Central Hospital of Wuhan, Tongji medical college,Huazhong University of science and Technololy | | | Haijun Zhu | The Central Hospital of Wuhan, Tongji medical college,Huazhong University of science and Technololy | | | Weiwei Lu | Tongji Hospital, Tongji Medical Collge, Huazhong University of science and Technololy | 215285906@qq.com |
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| Abstract: |
| Objective To assesse the outcomes of one-stage limb reconstruction after removal of skin cancers defect.
Methods This prospective study was conducted from September 2017 to January 2020 and included
15 patients. All patients underwent extensive tumor resection and one-stage Pelnac? reconstruction of
large skin defects, and regular postoperative follow-up was scheduled. At the 6-month follow-up, tumor
recurrence and scar quality was assessed using the Vancouver Scar Scale (VSS). None of the patients
exhibited infection, wound necrosis, hematoma, seroma, or recurrence.
Results All the skin grafts were well accepted by the patients. Nine patients reported normal or nearnormal
sensory function, while six reported slight sensory loss. No cases of significant functional loss
were observed. We enrolled 10 men and 5 women with a mean age of 63.9 years (range: 46–78 years).
The mean follow-up duration was 20.6 months (range: 12–36 months). The skin tumors were located on
the feet (n = 4), forearms (n = 3), and legs (n = 8). The malignant tumors included malignant melanomas
(13.3%), basal cell carcinomas (33.3%), and squamous cell carcinomas (53.3%). The mean operative time
was 40.7 min. Two patients underwent radiotherapy. The average length of hospital stay was 2.6 days. The
mean skin defect area was 33.2 cm2 (range: 16.6–51.6 cm2). The patient satisfaction score (regarding the
aesthetic appearance of the grafted area) was 79.7/100, and the VSS score was 3.8.
Conclusion Pelnac? dermal templates facilitate efficient and reliable reconstruction of skin defects after
skin cancer resection. |
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