Reconstructive Techniques in Melanoma for the Surgical Oncologist

Alejandro R Gimenez; Sebastian J Winocour; Carrie K Chu

doi:10.1016/j.soc.2020.02.003

Reconstructive Techniques in Melanoma for the Surgical Oncologist

Surg Oncol Clin N Am. 2020 Jul;29(3):349-367. doi: 10.1016/j.soc.2020.02.003.

Authors

Alejandro R Gimenez¹, Sebastian J Winocour², Carrie K Chu³

Affiliations

¹ Division of Plastic Surgery, Baylor College of Medicine, 6701 Fannin Street, Suite 610, Houston, TX 77030, USA. Electronic address: https://twitter.com/AGimenezMD.
² Division of Plastic Surgery, Baylor College of Medicine, 1977 Butler Boulevard, Suite E6.100, Houston, TX 77030, USA. Electronic address: https://twitter.com/WinocourMD.
³ Department of Plastic Surgery, The University of Texas M. D. Anderson Cancer Center, 1400 Pressler Street, Unit 1488, Houston, TX 77030, USA. Electronic address: [email protected].

PMID: 32482313
DOI: 10.1016/j.soc.2020.02.003

Abstract

Wounds resulting from wide local excision of melanoma vary in size and complexity, and require individualized solutions to achieve satisfactory closure. Goals of reconstruction include restoration of form, function, and aesthetics while minimizing donor site morbidity without compromising the effectiveness and safety of oncologic melanoma treatment. Optimal reconstruction relies on an in-depth understanding of the defect, locoregional anatomy and vasculature, available donor tissues, and basic wound healing and surgical principles. This article provides a broad overview of preoperative patient, timing, and wound considerations; various surgical techniques for complex reconstruction throughout the body; and postoperative care and complication management.

Keywords: Cancer; Flap; Graft; Melanoma; Oncology; Reconstruction; Skin cancer; Skin graft.

Publication types

Review

MeSH terms

Humans
Melanoma / pathology
Melanoma / surgery*
Oncologists / standards*
Plastic Surgery Procedures / methods*
Skin Neoplasms / pathology
Skin Neoplasms / surgery*