Immediate versus Delayed Sarcoma Reconstruction: Impact on Outcomes
Joint Authors
Sanniec, Kyle J.
Velazco, Cristine S.
Bryant, Lyndsey A.
Zhang, Nan
III, William J. Casey
Mahabir, Raman C.
Rebecca, Alanna M.
Source
Issue
Vol. 2016, Issue 2016 (31 Dec. 2016), pp.1-5, 5 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2016-07-13
Country of Publication
Egypt
No. of Pages
5
Main Subjects
Abstract EN
Background.
Sarcoma is a rare malignancy, and more recent management algorithms emphasize a multidisciplinary approach and limb salvage, which has resulted in an increase in overall survival and limb preservation.
However, limb salvage has resulted in a higher rate of wound complications.
Objective.
To compare the complications between immediate and delayed (>three weeks) reconstruction in the multidisciplinary limb salvage sarcoma patient population.
Methods.
A ten-year retrospective review of patients who underwent sarcoma resection was performed.
The outcome of interest was wound complication in the postoperative period based on timing of reconstruction.
We defined infection as any infection requiring intravenous antibiotics, partial flap failure as any flap requiring a debridement or revision, hematoma/seroma as any hematoma/seroma requiring drainage, and wound dehiscence as a wound that was not completely intact by three weeks postoperatively.
Results.
70 (17 delayed, 53 immediate) patients who underwent sarcoma resection and reconstruction met the inclusion criteria.
Delayed reconstruction significantly increased the incidence of postoperative wound infection and wound dehiscence.
There was no difference in partial or total flap loss, hematoma, or seroma between the two groups.
Discussion and Conclusion.
Immediate reconstruction results in decreased wound complications may reduce the morbidity associated with multidisciplinary treatment in the limb salvage sarcoma patient.
American Psychological Association (APA)
Sanniec, Kyle J.& Velazco, Cristine S.& Bryant, Lyndsey A.& Zhang, Nan& III, William J. Casey& Mahabir, Raman C.…[et al.]. 2016. Immediate versus Delayed Sarcoma Reconstruction: Impact on Outcomes. Complexity،Vol. 2016, no. 2016, pp.1-5.
https://search.emarefa.net/detail/BIM-1115788
Modern Language Association (MLA)
Sanniec, Kyle J.…[et al.]. Immediate versus Delayed Sarcoma Reconstruction: Impact on Outcomes. Complexity No. 2016 (2016), pp.1-5.
https://search.emarefa.net/detail/BIM-1115788
American Medical Association (AMA)
Sanniec, Kyle J.& Velazco, Cristine S.& Bryant, Lyndsey A.& Zhang, Nan& III, William J. Casey& Mahabir, Raman C.…[et al.]. Immediate versus Delayed Sarcoma Reconstruction: Impact on Outcomes. Complexity. 2016. Vol. 2016, no. 2016, pp.1-5.
https://search.emarefa.net/detail/BIM-1115788
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1115788