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International Journal of Surgical Oncology
Volume 2017, Article ID 9805980, 8 pages
https://doi.org/10.1155/2017/9805980
Research Article

Dermal Substitutes Use in Reconstructive Surgery for Skin Tumors: A Single-Center Experience

1Skin Cancer Department, AC Camargo Cancer Center, São Paulo, SP, Brazil
2Surgical Oncology, AC Camargo Cancer Center, São Paulo, SP, Brazil

Correspondence should be addressed to Eduardo Bertolli; moc.liamtoh@illotrebe

Received 21 January 2017; Accepted 26 April 2017; Published 2 July 2017

Academic Editor: Anil D’cruz

Copyright © 2017 Mariane Campagnari et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Reconstructive surgery following skin tumor resection can be challenging. Treatment options after removing the tumor are skin grafting, local pedicled and axial flaps, or microsurgery for complex and extensive wounds correction. Recently, the use of dermal substitutes has been extended to reconstructive surgery in cutaneous oncology. Objectives. To report both a single-center experience using dermal substitutes in reconstructive surgery for skin malignancies and reconstructive surgery’s outcomes. Methods and Results. Among thirteen patients, seven (53.8%) were male with mean age of 62.6 years. Regarding diagnosis, there were five cases (38.5%) of basal cell carcinoma (BCC), two (15.4%) of melanoma in situ, two (15.4%) of dermatofibrosarcoma protuberans, one (7.7%) of squamous cell carcinoma (SCC), one (7.7%) of angiosarcoma, and one (7.7%) of eccrine carcinoma (EC). The most common site of injury was scalp (53.8%) and lower limbs (23.1%). Seven (53.8%) patients used NPWT and six (46.2%) patients underwent Brown’s dressing. The most frequent complication of the first stage was wound contamination (38.5%). Average time to second-stage skin grafting was 43.9 days. Three (23%) patients developed tumor recurrence and one died. Conclusions. Use of dermal substitutes in oncology can be an option for reconstruction after extended resections, providing good aesthetical and functional results.