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Reconstruction of large wounds using a combination of negative pressure wound therapy and punch grafting after excision of acral lentiginous melanoma on the foot

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Author(s)
Jimyung SEOJihee KIMKyoung Ae NAMZhenlong ZHENGByung Ho OHKee Yang CHUNG
Keimyung Author(s)
Oh, Byung Ho
Department
Dept. of Dermatology (피부과학)
Journal Title
Journal of Dermatology
Issued Date
2016
Volume
43
Issue
1
Keyword
Acral lentiginous melanomaNegative pressure wound therapyPunch graftingReconstructionWounds on the feet
Abstract
Melanoma in darker-pigmented individuals often develops in an acral lentiginous fashion on the foot. After surgical
removal of a tumor at this site, repair of the wound can be challenging. This is because there is an insufficient
local skin pool and lack of mobility of the skin in this area. Moreover, functional aspects such as walking and
weight bearing should be considered. We performed a combination treatment of negative pressure wound therapy
(NPWT) and punch grafting on 15 patients, after wide excision of acral lentiginous melanomas on the foot, and
compared these to 26 patients who underwent either secondary intention healing (SIH, n = 13) or NPWT (n = 13)
alone. The punch grafting with NPWT group showed significantly shorter healing times than those of the other
two groups. Evaluation of completely healed wounds using the Vancouver Burn Scar Assessment Scale revealed
that the punch grafting group had mean values better, or comparable, to the SIH or NPWT group in four of the
five scales (except pigmentation). As for complications, only one patient developed a wound infection after punch
grafting. Further, by utilizing NPWT for fixation of punch grafts, it was possible to treat all subjects as outpatients
after punch grafting. These results show that a combination treatment of NPWT and punch grafting is an excellent
therapeutic option for post-wide excision wounds on the feet, with significantly shortened healing times and
favorable cosmetic outcomes.
Keimyung Author(s)(Kor)
오병호
Publisher
School of Medicine
Citation
Jimyung SEO et al. (2016). Reconstruction of large wounds using a combination of negative pressure wound therapy and punch grafting after excision of acral lentiginous melanoma on the foot. Journal of Dermatology, 43(1), 79–84. doi: 10.1111/1346-8138.13017
Type
Article
ISSN
0385-2407
Source
http://lps3.onlinelibrary.wiley.com.proxy.dsmc.or.kr/doi/abs/10.1111/1346-8138.13017
DOI
10.1111/1346-8138.13017
URI
https://kumel.medlib.dsmc.or.kr/handle/2015.oak/33273
Appears in Collections:
1. School of Medicine (의과대학) > Dept. of Dermatology (피부과학)
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