Affiliation
Department of Plastic Surgery, Royal Preston Hospital, Preston, UK.Issue Date
2020
Metadata
Show full item recordAbstract
For biopsy proven skin cancers that are deemed to be high risk, a wide local excision (WLE) is recommended to reduce the risk of local recurrence. For this reason, it is pragmatic to account for the likelihood of a WLE at the time of the initial biopsy. We illustrate a staged approach to excision of lesions to facilitate this, bearing in mind the optimal reconstruction is primary closure. In our experience as plastic surgeons, having to perform a locoregional flap or skin graft prevents the opportunity to perform a local anesthetic procedure. This increases the risk of postoperative complications, especially if adjuvant radiotherapy further exposes reconstructed tissues to radiation toxicity. Collectively, this often results in an inferior aesthetic outcome. We value the referrals from allied colleagues and want to share the principles we adhere to when planning an excision biopsy, which aid in the delivery of the optimal reconstruction.Citation
Amin KR, Asher CM, Hamilton AE, Mowatt DJ. Scar orientation: Principles in plastic surgery. J Cutan Aesthet Surg. 2020;13(2):152-3.Journal
Journal of Cutaneous and Aesthetic SurgeryDOI
10.4103/jcas.jcas_5_20PubMed ID
32792777Additional Links
https://dx.doi.org/10.4103/jcas.jcas_5_20Type
ArticleLanguage
enae974a485f413a2113503eed53cd6c53
10.4103/jcas.jcas_5_20