The one-stage microscopic repair of soft tissue defect caused by excision of malignant tumour

Abstract

Objective To explore the method and clinical efficacy of microsurgical reconstructive surgery after malignant tumors radical resection on the surface. Methods From June, 2015 to March, 2017, a total of 32 patients in this group underwent radical resection of malignant tumors. All of them resulted in a large area of soft tissue defect with loss of function. The average defect area was 10.0 cm×12.0 cm. All types of free flap and pedicle flap were selected. Myocutaneous flaps or local flaps were used to repair large areas of soft tissue defect on the basis of microsurgical techniques to protect the blood supply of the flaps and to reduce the damage to the donor area by evaluating the defect size, surrounding anatomical characteristics, and other factors. Results Thirty-two flaps survived completely. After 4 to 18 months of followed-up, the color of flap was close to that of the surrounding skin. The texture was good. There was no bloated swelling, and the skin protective sensation was restored. There was no obvious scar hyperplasia, no chills, no pain and no other complications in the donor site. Conclusion After the radical mastectomy of the body surface, different types of flaps can be selected for the first-stage microsurgery according to the characteristics of the different parts and the tumor excision wounds to obtain a good clinical efficacy. Key words: Malignant tumour of body surface; Soft tissue defect; Surgical flaps; Repair; Microsurgical technique