Title Methods of reconstruction (plastic) of medium size skin defects. indications, contraindications, advantages and disadvantages. importance of defect localization /
Translation of Title Methods of Reconstruction (Plastic) of Medium Size Skin Defects. Indications, Contraindications, Advantages and Disadvantages. Importance of Defect Localization.
Authors Robbas, Maayan
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Pages 38
Keywords [eng] These included "plastic surgery," "reconstructive surgery," "skin defect reconstruction," "medium-size skin defects," " skin defects reconstruction," "reconstructive ladder," "surgical techniques," "aesthetic outcomes," "functional outcomes," and "patient satisfaction," "Surgical Decision-Making," Functional Outcomes in Reconstruction," "Clinical Case Review," "Reconstruction Strategies." Boolean operators (AND, OR, NOT) were used to refine the search. For instance, " reconstructive surgery AND medium-size skin defects" or " medium-sized skin defects AND trunk/lower limb/head and neck."
Abstract [eng] This thesis delves into the nuanced realm of reconstructing medium-sized skin defects, focusing on the efficacy and strategic application of primary closure, local skin flaps, and regional or local pedicled flaps. By meticulously excluding microsurgical techniques and free flaps, the study offers a detailed exploration of alternatives suitable for defects that are too complex for simple suturing yet do not demand the intricate procedures required for more extensive or severe injuries. It aims to shed light on the critical decisions plastic surgeons face, emphasizing the key roles that the size and depth of the defect, and particularly location, play in the success of reconstructive outcomes. Given the unique challenges presented by medium-sized defects, especially when underlying critical structures are exposed or when the wound is situated in areas where high aesthetic or functional integrity is essential, such as the face and hands, this work is particularly relevant. For each specific location—whether it is the trunk, with its relatively more accessible closure possibilities due to the availability of soft tissue; the extremities, where the strategic placement of scars is crucial not to impede movement; the hands, which are vital for daily function and thus require a careful approach to preserve their underlying structures; or the face, where aesthetic considerations are paramount—this thesis discusses the different strategies which may be used and those that may be more obsolete. The study highlights the importance of a tailored approach by emphasizing the role of primary closure alongside local skin flaps and regional or local pedicled flaps. It asserts that understanding the intricate dynamics between the reconstruction method and the defect's specific location is crucial for optimizing both the healing process and the patient's overall satisfaction. The presented study, based on a literature review, humbly proposes that focusing on local skin flaps and regional or local pedicled flaps could offer insights into the most appropriate reconstructive strategies when considering medium-sized defects, balancing functional preservation and aesthetic outcomes. Finally, by examining the indications and contraindications, as well as the advantages and disadvantages of various methods, this study aspires to contribute to the plastic surgery field. It seeks to provide a nuanced perspective on achieving optimal results for patients facing medium-sized skin defects, emphasizing the importance of tailoring the surgical approach to the specific requirements of each defect's location and characteristics.
Dissertation Institution Vilniaus universitetas.
Type Master thesis
Language English
Publication date 2024