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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
Web of Science
PubMed
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- Führende Autor*innen der Med Uni Graz
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Schintler Michael
- Co-Autor*innen der Med Uni Graz
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Hellbom Bengt
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Prandl-Mira Eva-Christina
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Scharnagl Erwin
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Spendel Stephan
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- Abstract:
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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.
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Aged -
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Aged, 80 and over -
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Carcinoma, Basal Cell - surgery
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Carcinoma, Squamous Cell - surgery
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Debridement - instrumentation
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Equipment Design -
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Female -
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Humans -
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Male -
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Microcomputers -
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Occlusive Dressings -
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Polyurethanes -
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Scalp - surgery
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Skin Neoplasms - surgery
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Skin Transplantation - instrumentation
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Surgery, Computer-Assisted - instrumentation
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Suture Techniques - instrumentation
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Vacuum -
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Wound Healing - physiology
- Find related publications in this database (Keywords)
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cutaneous malignancy
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scalp reconstruction
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VAC((R)) -vacuum
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assisted closure
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geriatric patient
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polymorbidity