A combined multistep reconstruction of the heel after skin tumor resection in posttraumatic chronic ulcers: a case series.

IF 1.4 4区医学 Q3 DERMATOLOGY

Wounds : a compendium of clinical research and practice Pub Date : 2025-06-01

Fedele Lembo, Liberato Roberto Cecchino, Domenico Parisi, Aurelio Portincasa

引用次数: 0

Abstract

Background: Heel reconstruction following wide resection of Marjolin ulcer represents a challenge for surgeons. Local or free flaps are usually used, but they present some disadvantages, such as donor site morbidity, high risk of necrosis, and long surgical time and hospital stay.

Objective: To use a combined multistep protocol of heel reconstruction after wide resection of Marjolin ulcer using a biosynthetic extracellular matrix and negative wound pressure therapy.

Materials and methods: Demographic, clinical, and surgical data for 4 patients treated at a single institution were retrospectively collected.

Results: All patients healed with a good scar appearance and high satisfaction. No complications or tumor recurrence were observed at 12 months postoperative.

Conclusion: The findings of this clinical series suggest that the combined protocol described is an effective option for the resolution of these complex wounds.

本刊更多论文

创伤后慢性溃疡皮肤肿瘤切除后脚跟多步重建：一个病例系列。

背景：马卓林溃疡广泛切除后的足跟重建对外科医生来说是一个挑战。局部皮瓣或游离皮瓣是常用的方法，但存在供体部位病变、坏死风险高、手术时间长、住院时间长等缺点。目的：应用生物合成细胞外基质联合负压治疗马卓林溃疡大面积切除后足跟重建的多步骤联合治疗方案。材料和方法：回顾性收集在同一医院治疗的4例患者的人口学、临床和手术资料。结果：所有患者均愈合，瘢痕外观良好，满意度高。术后12个月无并发症及肿瘤复发。结论：本临床系列的研究结果表明，所描述的联合方案是解决这些复杂伤口的有效选择。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Wounds : a compendium of clinical research and practice 医学-皮肤病学

CiteScore

1.50

自引率

11.80%

发文量

审稿时长

6-12 weeks

期刊介绍： Wounds is the most widely read, peer-reviewed journal focusing on wound care and wound research. The information disseminated to our readers includes valuable research and commentaries on tissue repair and regeneration, biology and biochemistry of wound healing, and clinical management of various wound etiologies. Our multidisciplinary readership consists of dermatologists, general surgeons, plastic surgeons, vascular surgeons, internal medicine/family practitioners, podiatrists, gerontologists, researchers in industry or academia (PhDs), orthopedic surgeons, infectious disease physicians, nurse practitioners, and physician assistants. These practitioners must be well equipped to deal with a myriad of chronic wound conditions affecting their patients including vascular disease, diabetes, obesity, dermatological disorders, and more. Whether dealing with a traumatic wound, a surgical or non-skin wound, a burn injury, or a diabetic foot ulcer, wound care professionals turn to Wounds for the latest in research and practice in this ever-growing field of medicine.