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Schintler, MV; Prandl, EC; Wittguber, G; Zink, B; Spendel, S; Hellbom, B; Scharnagl, E.
The impact of the VAC-treatment for locally advanced malignancy of the scalp.
ZBL CHIR. 2004; 129 Suppl 1(9): S141-S146. Doi: 10.1055/s-2004-822690
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Führende Autor*innen der Med Uni Graz
Schintler Michael
Co-Autor*innen der Med Uni Graz
Hellbom Bengt
Prandl-Mira Eva-Christina
Scharnagl Erwin
Spendel Stephan
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Abstract:
Locally advanced cutaneous malignancy of the scalp is a disease that requires an aggressive approach to resection and reconstruction. In cases where the pericranium is intact a split-thickness skin graft is a simple treatment, since direct closure often fails because due to the lack of elasticity of the scalp. If there is a loss of periosteum or a skull defect local or free flaps are necessary for sufficient coverage. Increasing geriatric and polymorbid patients with impaired wound healing require surgical treatment, considering pros and cons for general anaesthesia. A simple method of both, combining radicality of tumor resection with outer table bone and skin grafting as a two stage procedure, while minimizing perioperative risk using local anaesthesia and analgo-sedation, using the vacuum assisted closure device, is presented.
Find related publications in this database (using NLM MeSH Indexing)
Aged -
Aged, 80 and over -
Carcinoma, Basal Cell - surgery
Carcinoma, Squamous Cell - surgery
Debridement - instrumentation
Equipment Design -
Female -
Humans -
Male -
Microcomputers -
Occlusive Dressings -
Polyurethanes -
Scalp - surgery
Skin Neoplasms - surgery
Skin Transplantation - instrumentation
Surgery, Computer-Assisted - instrumentation
Suture Techniques - instrumentation
Vacuum -
Wound Healing - physiology

Find related publications in this database (Keywords)
cutaneous malignancy
scalp reconstruction
VAC((R)) -vacuum
assisted closure
geriatric patient
polymorbidity
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