{"title":"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。","authors":"Fedele Lembo, Liberato Roberto Cecchino, Domenico Parisi, Aurelio Portincasa","doi":"","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>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.</p><p><strong>Objective: </strong>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.</p><p><strong>Materials and methods: </strong>Demographic, clinical, and surgical data for 4 patients treated at a single institution were retrospectively collected.</p><p><strong>Results: </strong>All patients healed with a good scar appearance and high satisfaction. No complications or tumor recurrence were observed at 12 months postoperative.</p><p><strong>Conclusion: </strong>The findings of this clinical series suggest that the combined protocol described is an effective option for the resolution of these complex wounds.</p>","PeriodicalId":23752,"journal":{"name":"Wounds : a compendium of clinical research and practice","volume":"37 6","pages":"220-225"},"PeriodicalIF":1.1000,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"A combined multistep reconstruction of the heel after skin tumor resection in posttraumatic chronic ulcers: a case series.\",\"authors\":\"Fedele Lembo, Liberato Roberto Cecchino, Domenico Parisi, Aurelio Portincasa\",\"doi\":\"\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background: </strong>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.</p><p><strong>Objective: </strong>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.</p><p><strong>Materials and methods: </strong>Demographic, clinical, and surgical data for 4 patients treated at a single institution were retrospectively collected.</p><p><strong>Results: </strong>All patients healed with a good scar appearance and high satisfaction. No complications or tumor recurrence were observed at 12 months postoperative.</p><p><strong>Conclusion: </strong>The findings of this clinical series suggest that the combined protocol described is an effective option for the resolution of these complex wounds.</p>\",\"PeriodicalId\":23752,\"journal\":{\"name\":\"Wounds : a compendium of clinical research and practice\",\"volume\":\"37 6\",\"pages\":\"220-225\"},\"PeriodicalIF\":1.1000,\"publicationDate\":\"2025-06-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Wounds : a compendium of clinical research and practice\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q3\",\"JCRName\":\"DERMATOLOGY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Wounds : a compendium of clinical research and practice","FirstCategoryId":"3","ListUrlMain":"","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"DERMATOLOGY","Score":null,"Total":0}
A combined multistep reconstruction of the heel after skin tumor resection in posttraumatic chronic ulcers: a case series.
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.
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.
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