Keep it simple. A ten-year experience in reconstructions after Mohs micrographic surgery,

Detalhes bibliográficos
Autor(a) principal: Brandão,Caroline Martins
Data de Publicação: 2020
Outros Autores: Weimann,Ellem Tatiani de Souza, Terzian,Luiz Roberto, Machado Filho,Carlos D'Apparecida Santos, Paschoal,Francisco Macedo, Criado,Paulo Ricardo
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Anais brasileiros de dermatologia (Online)
Texto Completo: http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0365-05962020000600714
Resumo: Abstract Background: Mohs micrographic surgery is worldwide used for treating skin cancers. After obtaining tumor-free margins, choosing the most appropriate type of closure can be challenging. Objectives: Our aim was to associate type of surgical reconstructions after Mohs micrographic surgery with the characteristics of the tumors as histological subtype, anatomical localization and especially number of surgical stages to achieve complete excision of the tumour. Methods: Transversal, retrospective analyses of medical records. Compilation of data such as gender, age, tumor location, histological subtype, number of stages to achieve clear margins and type of repair used. Results: A total of 975 of facial and extra-facial cases were analyzed. Linear closure was the most common repair by far (39%) and was associated with the smallest number of Mohs micrographic surgery stages. This type of closure was also more common in most histological subtypes and anatomical locations studied. Using Poisson regression model, nose defects presented 39% higher frequency of other closure types than the frequency of primary repairs, when compared to defects in other anatomic sites (p< 0.05). Tumors with two or more stages had a 28.6% higher frequency of other closure types than those operated in a single stage (p< 0.05). Study limitations: Retrospective study with limitations in obtaining information from medical records. The choice of closure type can be a personal choice. Conclusions: Primary closure should not be forgotten especially in surgical defects with fewer stages and in non-aggressive histological subtypes in main anatomic sites where Mohs micrographic surgery is performed.
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spelling Keep it simple. A ten-year experience in reconstructions after Mohs micrographic surgery,Carcinoma, basal cellDermatologic surgical proceduresMohs surgerySurgical flapsWound closure techniquesAbstract Background: Mohs micrographic surgery is worldwide used for treating skin cancers. After obtaining tumor-free margins, choosing the most appropriate type of closure can be challenging. Objectives: Our aim was to associate type of surgical reconstructions after Mohs micrographic surgery with the characteristics of the tumors as histological subtype, anatomical localization and especially number of surgical stages to achieve complete excision of the tumour. Methods: Transversal, retrospective analyses of medical records. Compilation of data such as gender, age, tumor location, histological subtype, number of stages to achieve clear margins and type of repair used. Results: A total of 975 of facial and extra-facial cases were analyzed. Linear closure was the most common repair by far (39%) and was associated with the smallest number of Mohs micrographic surgery stages. This type of closure was also more common in most histological subtypes and anatomical locations studied. Using Poisson regression model, nose defects presented 39% higher frequency of other closure types than the frequency of primary repairs, when compared to defects in other anatomic sites (p< 0.05). Tumors with two or more stages had a 28.6% higher frequency of other closure types than those operated in a single stage (p< 0.05). Study limitations: Retrospective study with limitations in obtaining information from medical records. The choice of closure type can be a personal choice. Conclusions: Primary closure should not be forgotten especially in surgical defects with fewer stages and in non-aggressive histological subtypes in main anatomic sites where Mohs micrographic surgery is performed.Sociedade Brasileira de Dermatologia2020-12-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0365-05962020000600714Anais Brasileiros de Dermatologia v.95 n.6 2020reponame:Anais brasileiros de dermatologia (Online)instname:Sociedade Brasileira de Dermatologia (SBD)instacron:SBD10.1016/j.abd.2020.05.004info:eu-repo/semantics/openAccessBrandão,Caroline MartinsWeimann,Ellem Tatiani de SouzaTerzian,Luiz RobertoMachado Filho,Carlos D'Apparecida SantosPaschoal,Francisco MacedoCriado,Paulo Ricardoeng2020-11-30T00:00:00Zoai:scielo:S0365-05962020000600714Revistahttp://www.anaisdedermatologia.org.br/https://old.scielo.br/oai/scielo-oai.phpabd@sbd.org.br||revista@sbd.org.br1806-48410365-0596opendoar:2020-11-30T00:00Anais brasileiros de dermatologia (Online) - Sociedade Brasileira de Dermatologia (SBD)false
dc.title.none.fl_str_mv Keep it simple. A ten-year experience in reconstructions after Mohs micrographic surgery,
title Keep it simple. A ten-year experience in reconstructions after Mohs micrographic surgery,
spellingShingle Keep it simple. A ten-year experience in reconstructions after Mohs micrographic surgery,
Brandão,Caroline Martins
Carcinoma, basal cell
Dermatologic surgical procedures
Mohs surgery
Surgical flaps
Wound closure techniques
title_short Keep it simple. A ten-year experience in reconstructions after Mohs micrographic surgery,
title_full Keep it simple. A ten-year experience in reconstructions after Mohs micrographic surgery,
title_fullStr Keep it simple. A ten-year experience in reconstructions after Mohs micrographic surgery,
title_full_unstemmed Keep it simple. A ten-year experience in reconstructions after Mohs micrographic surgery,
title_sort Keep it simple. A ten-year experience in reconstructions after Mohs micrographic surgery,
author Brandão,Caroline Martins
author_facet Brandão,Caroline Martins
Weimann,Ellem Tatiani de Souza
Terzian,Luiz Roberto
Machado Filho,Carlos D'Apparecida Santos
Paschoal,Francisco Macedo
Criado,Paulo Ricardo
author_role author
author2 Weimann,Ellem Tatiani de Souza
Terzian,Luiz Roberto
Machado Filho,Carlos D'Apparecida Santos
Paschoal,Francisco Macedo
Criado,Paulo Ricardo
author2_role author
author
author
author
author
dc.contributor.author.fl_str_mv Brandão,Caroline Martins
Weimann,Ellem Tatiani de Souza
Terzian,Luiz Roberto
Machado Filho,Carlos D'Apparecida Santos
Paschoal,Francisco Macedo
Criado,Paulo Ricardo
dc.subject.por.fl_str_mv Carcinoma, basal cell
Dermatologic surgical procedures
Mohs surgery
Surgical flaps
Wound closure techniques
topic Carcinoma, basal cell
Dermatologic surgical procedures
Mohs surgery
Surgical flaps
Wound closure techniques
description Abstract Background: Mohs micrographic surgery is worldwide used for treating skin cancers. After obtaining tumor-free margins, choosing the most appropriate type of closure can be challenging. Objectives: Our aim was to associate type of surgical reconstructions after Mohs micrographic surgery with the characteristics of the tumors as histological subtype, anatomical localization and especially number of surgical stages to achieve complete excision of the tumour. Methods: Transversal, retrospective analyses of medical records. Compilation of data such as gender, age, tumor location, histological subtype, number of stages to achieve clear margins and type of repair used. Results: A total of 975 of facial and extra-facial cases were analyzed. Linear closure was the most common repair by far (39%) and was associated with the smallest number of Mohs micrographic surgery stages. This type of closure was also more common in most histological subtypes and anatomical locations studied. Using Poisson regression model, nose defects presented 39% higher frequency of other closure types than the frequency of primary repairs, when compared to defects in other anatomic sites (p< 0.05). Tumors with two or more stages had a 28.6% higher frequency of other closure types than those operated in a single stage (p< 0.05). Study limitations: Retrospective study with limitations in obtaining information from medical records. The choice of closure type can be a personal choice. Conclusions: Primary closure should not be forgotten especially in surgical defects with fewer stages and in non-aggressive histological subtypes in main anatomic sites where Mohs micrographic surgery is performed.
publishDate 2020
dc.date.none.fl_str_mv 2020-12-01
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
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dc.language.iso.fl_str_mv eng
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dc.relation.none.fl_str_mv 10.1016/j.abd.2020.05.004
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dc.publisher.none.fl_str_mv Sociedade Brasileira de Dermatologia
publisher.none.fl_str_mv Sociedade Brasileira de Dermatologia
dc.source.none.fl_str_mv Anais Brasileiros de Dermatologia v.95 n.6 2020
reponame:Anais brasileiros de dermatologia (Online)
instname:Sociedade Brasileira de Dermatologia (SBD)
instacron:SBD
instname_str Sociedade Brasileira de Dermatologia (SBD)
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institution SBD
reponame_str Anais brasileiros de dermatologia (Online)
collection Anais brasileiros de dermatologia (Online)
repository.name.fl_str_mv Anais brasileiros de dermatologia (Online) - Sociedade Brasileira de Dermatologia (SBD)
repository.mail.fl_str_mv abd@sbd.org.br||revista@sbd.org.br
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