Use of a vacuum-assisted closure device in the repair of defect after enlarged excision of dermatofibrosarcoma protuberans

VernacularTitle:负压辅助闭合技术在修复隆突性皮肤纤维肉瘤扩大切除创面中的应用
Author: Li CHEN ; Hua LI ; Yan SHAO
Publication Type:Journal Article
From: Chinese Journal of Dermatology 2012;45(9):668-669
CountryChina
Language:Chinese
Abstract: Objective To develop a new method to repair the defect after enlarged excision of dermatofibrosarcoma protuberans.Methods This study included 8 patients with dermatofibrosarcoma protuberans measuring 2.5 to 5.5 cm in diameter.All the patients underwent enlarged excision of the affected skin and subcutaneous tissue.The defect measured 12.5 to 17.5 cm in diameter.Sieve skin flaps secured with a vacuum-assisted closure device were used to repair the huge surface defects.Results All the patients experienced the survival of sieve skin flaps at stage Ⅰ after operation,with no infection,effusion or necrosis.No relapse was observed during the 3 to 40 months of follow up.A satisfactory recovery was achieved in skin appearance and function with the formation of a flat scar,and no obvious proliferation occurred.Conclusion The vacuum-assisted closure device offers a safe and simple method for securing skin grafts to the defect after enlarged excision of dermatofibrosarcoma protuberans.