Original articles
Full Thickness Skin Grafts Obtained From the Skin Overlying Sentinel Nodes
Injertos de Piel Total Obtenidos de la Zona del Ganglio Centinela
A. Clemente-Ruiz de Almiróna,
, S. Serrano-Ortegab
Corresponding author
acra@meditex.es
Correspondence: Servicio de Dermatología, Hospital Universitario San Cecilio, Avda. Dr. Olóriz, 16, 18012 Granada, Spain.
Correspondence: Servicio de Dermatología, Hospital Universitario San Cecilio, Avda. Dr. Olóriz, 16, 18012 Granada, Spain.
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Serrano-Ortega" "autores" => array:2 [ 0 => array:4 [ "nombre" => "A." "apellidos" => "Clemente-Ruiz de Almirón" "email" => array:1 [ 0 => "acra@meditex.es" ] "referencia" => array:2 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff1" ] 1 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">¿</span>" "identificador" => "cor1" ] ] ] 1 => array:3 [ "nombre" => "S." "apellidos" => "Serrano-Ortega" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff2" ] ] ] ] "afiliaciones" => array:2 [ 0 => array:3 [ "entidad" => "Servicio de Dermatología, Hospital Universitario San Cecilio, Granada, España" "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff1" ] 1 => array:3 [ "entidad" => "Facultad de Medicina, Universidad de Granada, Granada, Spain" "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff2" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor1" "etiqueta" => "⁎" "correspondencia" => "Correspondence: Servicio de Dermatología, Hospital Universitario San Cecilio, Avda. Dr. Olóriz, 16, 18012 Granada, Spain." ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Injertos de Piel Total Obtenidos de la Zona del Ganglio Centinela" ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaAceptado" => "2009-03-09" "PalabrasClave" => array:2 [ "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Key words" "identificador" => "xpalclavsec84607" "palabras" => array:3 [ 0 => "melanoma" 1 => "sentinel lymph node" 2 => "grafts" ] ] ] "es" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec84608" "palabras" => array:3 [ 0 => "melanoma" 1 => "ganglio centinela" 2 => "injertos" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "en" => array:2 [ "titulo" => "Abstract" "resumen" => "<span class="elsevierStyleSectionTitle">Background</span><p class="elsevierStyleSimplePara elsevierViewall">Surgical treatment of skin melanoma with skin margins in accordance with tumor thickness often necessitates covering the surgical defect with full or partial thickness skin grafts. When selective sentinel node biopsy is indicated, traditional procedures require 3 incisions: 1 in the region of the primary tumor covered by the graft, 1 in the axilla or groin corresponding to the site of the selective sentinel lymphnode biopsy, and 1—almost always the most uncomfortable—in the donor site for the skin graft.</p> <span class="elsevierStyleSectionTitle">Patients and methods</span><p class="elsevierStyleSimplePara elsevierViewall">We present 10 patients attended in our department who underwent an alternative technique to reduce the number of wounds. A full thickness skin graft was obtained from the axillary or inguinal region covering the sentinel node.</p> <span class="elsevierStyleSectionTitle">Results</span><p class="elsevierStyleSimplePara elsevierViewall">Sentinel node biopsy was positive in 1 patient, who subsequently underwent inguinal lymphadenectomy. Only 1 mild postoperative complication was reported in a patient with partial graft loss. The mean hospital stay was 6.2 days. After follow-up ranging from 11 to 56 months, no local recurrences or metastases had been detected.</p> <span class="elsevierStyleSectionTitle">Conclusion</span><p class="elsevierStyleSimplePara elsevierViewall">The technique we present has the advantage of further simplifying surgical treatment for melanoma. It reduces the problems associated with sentinel node dissection by affording a wider access and is also associated with less morbidity.</p>" ] "es" => array:2 [ "titulo" => "Resumen" "resumen" => "<span class="elsevierStyleSectionTitle">Introducción</span><p class="elsevierStyleSimplePara elsevierViewall">El tratamiento quirúrgico del melanoma cutáneo con unos márgenes adecuados al espesor del tumor va a hacer que, en ciertas localizaciones, sea frecuente tener que cubrir el defecto quirúrgico mediante injertos de piel total o parcial. Cuando haya que realizar biopsia selectiva del ganglio centinela (BSGC) con la técnica clásica el paciente tendrá tres heridas, una en la zona del primario cubierta por el injerto, otra en la axila o la ingle, por donde hemos hecho la BSGC, y otra, casi siempre la más molesta, en la zona dadora del injerto.</p> <span class="elsevierStyleSectionTitle">Material y métodos</span><p class="elsevierStyleSimplePara elsevierViewall">Presentamos 10 pacientes tratados en nuestro Servicio en los que se realizó una técnica alternativa que redujo el número resultante de heridas. Para ello se obtuvo el injerto de piel total de la zona de la axila o de la ingle que recubría el ganglio centinela.</p> <span class="elsevierStyleSectionTitle">Resultados</span><p class="elsevierStyleSimplePara elsevierViewall">La BSGC sólo fue positiva en un caso, al que se realizó linfadenectomía inguinal. Sólo se produjo una complicación postoperatoria leve en un paciente, con una pérdida parcial del injerto y la estancia hospitalaria media fue de 6,2 días. Después de un seguimiento variable entre 11 y 56 meses, no se han detectado casos de recidiva local ni de metástasis.</p> <span class="elsevierStyleSectionTitle">Conclusiones</span><p class="elsevierStyleSimplePara elsevierViewall">La técnica que presentamos tiene la ventaja de que simplifica aún más el tratamiento quirúrgico del melanoma, reduce las dificultades en la disección del ganglio centinela al permitirnos una vía de abordaje más amplia y, además, disminuye la morbilidad asociada a la intervención.</p>" ] ] "bibliografia" => array:2 [ "titulo" => "References" "seccion" => array:1 [ 0 => array:1 [ "bibliografiaReferencia" => array:14 [ 0 => array:3 [ "identificador" => "bib1" "etiqueta" => "1." 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| Year/Month | Html | Total | |
|---|---|---|---|
| 2024 November | 1 | 7 | 8 |
| 2024 October | 54 | 39 | 93 |
| 2024 September | 69 | 29 | 98 |
| 2024 August | 85 | 54 | 139 |
| 2024 July | 52 | 37 | 89 |
| 2024 June | 47 | 40 | 87 |
| 2024 May | 55 | 26 | 81 |
| 2024 April | 47 | 26 | 73 |
| 2024 March | 65 | 43 | 108 |
| 2024 February | 60 | 30 | 90 |
| 2024 January | 40 | 45 | 85 |
| 2023 December | 38 | 37 | 75 |
| 2023 November | 47 | 41 | 88 |
| 2023 October | 36 | 22 | 58 |
| 2023 September | 30 | 25 | 55 |
| 2023 August | 28 | 18 | 46 |
| 2023 July | 24 | 38 | 62 |
| 2023 June | 38 | 115 | 153 |
| 2023 May | 29 | 17 | 46 |
| 2023 April | 23 | 23 | 46 |
| 2023 March | 23 | 23 | 46 |
| 2023 February | 18 | 27 | 45 |
| 2023 January | 22 | 30 | 52 |
| 2022 December | 22 | 37 | 59 |
| 2022 November | 12 | 44 | 56 |
| 2022 October | 12 | 26 | 38 |
| 2022 September | 19 | 39 | 58 |
| 2022 August | 14 | 29 | 43 |
| 2022 July | 13 | 34 | 47 |
| 2022 June | 14 | 21 | 35 |
| 2022 May | 22 | 39 | 61 |
| 2022 April | 28 | 43 | 71 |
| 2022 March | 20 | 44 | 64 |
| 2022 February | 25 | 33 | 58 |
| 2022 January | 19 | 42 | 61 |
| 2021 December | 21 | 50 | 71 |
| 2021 November | 24 | 52 | 76 |
| 2021 October | 29 | 65 | 94 |
| 2021 September | 23 | 40 | 63 |
| 2021 August | 25 | 24 | 49 |
| 2021 July | 15 | 37 | 52 |
| 2021 June | 16 | 30 | 46 |
| 2021 May | 14 | 22 | 36 |
| 2021 April | 54 | 92 | 146 |
| 2021 March | 48 | 15 | 63 |
| 2021 February | 51 | 26 | 77 |
| 2021 January | 19 | 14 | 33 |
| 2020 December | 24 | 24 | 48 |
| 2020 November | 15 | 15 | 30 |
| 2020 October | 21 | 9 | 30 |
| 2020 September | 28 | 7 | 35 |
| 2020 August | 23 | 15 | 38 |
| 2020 July | 17 | 6 | 23 |
| 2020 June | 31 | 22 | 53 |
| 2020 May | 23 | 17 | 40 |
| 2020 April | 13 | 12 | 25 |
| 2020 March | 15 | 18 | 33 |
| 2020 February | 0 | 3 | 3 |
| 2020 January | 0 | 7 | 7 |
| 2019 December | 0 | 5 | 5 |
| 2019 November | 0 | 4 | 4 |
| 2019 October | 0 | 5 | 5 |
| 2019 September | 0 | 2 | 2 |
| 2019 August | 0 | 2 | 2 |
| 2019 July | 0 | 9 | 9 |
| 2019 June | 0 | 5 | 5 |
| 2019 May | 0 | 74 | 74 |
| 2019 April | 0 | 14 | 14 |
| 2019 March | 0 | 1 | 1 |
| 2019 February | 0 | 7 | 7 |
| 2018 June | 0 | 4 | 4 |
| 2018 May | 0 | 3 | 3 |
| 2018 April | 0 | 3 | 3 |
| 2018 March | 0 | 1 | 1 |
| 2018 February | 8 | 4 | 12 |
| 2018 January | 21 | 8 | 29 |
| 2017 December | 15 | 9 | 24 |
| 2017 November | 10 | 2 | 12 |
| 2017 October | 14 | 4 | 18 |
| 2017 September | 19 | 16 | 35 |
| 2017 August | 39 | 6 | 45 |
| 2017 July | 34 | 3 | 37 |
| 2017 June | 29 | 28 | 57 |
| 2017 May | 31 | 14 | 45 |
| 2017 April | 36 | 29 | 65 |
| 2017 March | 35 | 33 | 68 |
| 2017 February | 12 | 12 | 24 |
| 2017 January | 7 | 9 | 16 |
| 2016 December | 27 | 5 | 32 |
| 2016 November | 20 | 12 | 32 |
| 2016 October | 29 | 7 | 36 |
| 2016 September | 28 | 6 | 34 |
| 2016 August | 25 | 7 | 32 |
| 2016 July | 26 | 14 | 40 |
| 2016 June | 13 | 8 | 21 |
| 2016 May | 6 | 9 | 15 |
| 2016 April | 9 | 10 | 19 |
| 2016 March | 11 | 8 | 19 |
| 2016 February | 4 | 12 | 16 |
| 2016 January | 10 | 8 | 18 |
| 2015 December | 10 | 3 | 13 |
| 2015 November | 18 | 6 | 24 |
| 2015 October | 5 | 3 | 8 |
| 2015 September | 9 | 3 | 12 |
| 2015 August | 9 | 3 | 12 |
| 2015 July | 32 | 6 | 38 |
| 2015 June | 14 | 5 | 19 |
| 2015 May | 56 | 8 | 64 |
| 2015 April | 25 | 6 | 31 |
| 2015 March | 30 | 6 | 36 |
| 2015 February | 25 | 13 | 38 |
| 2015 January | 14 | 13 | 27 |
| 2014 December | 27 | 10 | 37 |
| 2014 November | 15 | 12 | 27 |
| 2014 October | 22 | 13 | 35 |
| 2014 September | 27 | 9 | 36 |
| 2014 August | 39 | 15 | 54 |
| 2014 July | 31 | 18 | 49 |
| 2014 June | 35 | 9 | 44 |
| 2014 May | 48 | 12 | 60 |
| 2014 April | 30 | 8 | 38 |
| 2014 March | 45 | 20 | 65 |
| 2014 February | 28 | 14 | 42 |
| 2014 January | 30 | 14 | 44 |
| 2013 December | 36 | 14 | 50 |
| 2013 November | 26 | 18 | 44 |
| 2013 October | 24 | 21 | 45 |
| 2013 September | 28 | 19 | 47 |
| 2013 August | 23 | 29 | 52 |
| 2013 July | 40 | 33 | 73 |
| 2013 June | 22 | 31 | 53 |
| 2013 May | 25 | 32 | 57 |
| 2013 April | 30 | 24 | 54 |
| 2013 March | 39 | 20 | 59 |
| 2013 February | 29 | 12 | 41 |
| 2013 January | 7 | 3 | 10 |
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