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
Autor para correspondencia
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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Ferrándiz, F.M. Camacho" "autores" => array:4 [ 0 => array:2 [ "nombre" => "D." "apellidos" => "Moreno-Ramírez" ] 1 => array:2 [ "nombre" => "L." "apellidos" => "de la Cruz" ] 2 => array:2 [ "nombre" => "L." "apellidos" => "Ferrándiz" ] 3 => array:2 [ "nombre" => "F.M." "apellidos" => "Camacho" ] ] ] ] ] "idiomaDefecto" => "en" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1578219009701726?idApp=UINPBA000044" "url" => "/15782190/0000010000000009/v1_201304241507/S1578219009701726/v1_201304241507/en/main.assets" ] "en" => array:14 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Original articles</span>" "titulo" => "Full Thickness Skin Grafts Obtained From the Skin Overlying Sentinel Nodes" "tieneTextoCompleto" => 0 "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "780" "paginaFinal" => "784" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "A. Clemente-Ruiz de Almirón, S. 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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| año/Mes | Html | Total | |
|---|---|---|---|
| 2024 Noviembre | 4 | 7 | 11 |
| 2024 Octubre | 54 | 39 | 93 |
| 2024 Septiembre | 69 | 29 | 98 |
| 2024 Agosto | 85 | 54 | 139 |
| 2024 Julio | 52 | 37 | 89 |
| 2024 Junio | 47 | 40 | 87 |
| 2024 Mayo | 55 | 26 | 81 |
| 2024 Abril | 47 | 26 | 73 |
| 2024 Marzo | 65 | 43 | 108 |
| 2024 Febrero | 60 | 30 | 90 |
| 2024 Enero | 40 | 45 | 85 |
| 2023 Diciembre | 38 | 37 | 75 |
| 2023 Noviembre | 47 | 41 | 88 |
| 2023 Octubre | 36 | 22 | 58 |
| 2023 Septiembre | 30 | 25 | 55 |
| 2023 Agosto | 28 | 18 | 46 |
| 2023 Julio | 24 | 38 | 62 |
| 2023 Junio | 38 | 115 | 153 |
| 2023 Mayo | 29 | 17 | 46 |
| 2023 Abril | 23 | 23 | 46 |
| 2023 Marzo | 23 | 23 | 46 |
| 2023 Febrero | 18 | 27 | 45 |
| 2023 Enero | 22 | 30 | 52 |
| 2022 Diciembre | 22 | 37 | 59 |
| 2022 Noviembre | 12 | 44 | 56 |
| 2022 Octubre | 12 | 26 | 38 |
| 2022 Septiembre | 19 | 39 | 58 |
| 2022 Agosto | 14 | 29 | 43 |
| 2022 Julio | 13 | 34 | 47 |
| 2022 Junio | 14 | 21 | 35 |
| 2022 Mayo | 22 | 39 | 61 |
| 2022 Abril | 28 | 43 | 71 |
| 2022 Marzo | 20 | 44 | 64 |
| 2022 Febrero | 25 | 33 | 58 |
| 2022 Enero | 19 | 42 | 61 |
| 2021 Diciembre | 21 | 50 | 71 |
| 2021 Noviembre | 24 | 52 | 76 |
| 2021 Octubre | 29 | 65 | 94 |
| 2021 Septiembre | 23 | 40 | 63 |
| 2021 Agosto | 25 | 24 | 49 |
| 2021 Julio | 15 | 37 | 52 |
| 2021 Junio | 16 | 30 | 46 |
| 2021 Mayo | 14 | 22 | 36 |
| 2021 Abril | 54 | 92 | 146 |
| 2021 Marzo | 48 | 15 | 63 |
| 2021 Febrero | 51 | 26 | 77 |
| 2021 Enero | 19 | 14 | 33 |
| 2020 Diciembre | 24 | 24 | 48 |
| 2020 Noviembre | 15 | 15 | 30 |
| 2020 Octubre | 21 | 9 | 30 |
| 2020 Septiembre | 28 | 7 | 35 |
| 2020 Agosto | 23 | 15 | 38 |
| 2020 Julio | 17 | 6 | 23 |
| 2020 Junio | 31 | 22 | 53 |
| 2020 Mayo | 23 | 17 | 40 |
| 2020 Abril | 13 | 12 | 25 |
| 2020 Marzo | 15 | 18 | 33 |
| 2020 Febrero | 0 | 3 | 3 |
| 2020 Enero | 0 | 7 | 7 |
| 2019 Diciembre | 0 | 5 | 5 |
| 2019 Noviembre | 0 | 4 | 4 |
| 2019 Octubre | 0 | 5 | 5 |
| 2019 Septiembre | 0 | 2 | 2 |
| 2019 Agosto | 0 | 2 | 2 |
| 2019 Julio | 0 | 9 | 9 |
| 2019 Junio | 0 | 5 | 5 |
| 2019 Mayo | 0 | 74 | 74 |
| 2019 Abril | 0 | 14 | 14 |
| 2019 Marzo | 0 | 1 | 1 |
| 2019 Febrero | 0 | 7 | 7 |
| 2018 Junio | 0 | 4 | 4 |
| 2018 Mayo | 0 | 3 | 3 |
| 2018 Abril | 0 | 3 | 3 |
| 2018 Marzo | 0 | 1 | 1 |
| 2018 Febrero | 8 | 4 | 12 |
| 2018 Enero | 21 | 8 | 29 |
| 2017 Diciembre | 15 | 9 | 24 |
| 2017 Noviembre | 10 | 2 | 12 |
| 2017 Octubre | 14 | 4 | 18 |
| 2017 Septiembre | 19 | 16 | 35 |
| 2017 Agosto | 39 | 6 | 45 |
| 2017 Julio | 34 | 3 | 37 |
| 2017 Junio | 29 | 28 | 57 |
| 2017 Mayo | 31 | 14 | 45 |
| 2017 Abril | 36 | 29 | 65 |
| 2017 Marzo | 35 | 33 | 68 |
| 2017 Febrero | 12 | 12 | 24 |
| 2017 Enero | 7 | 9 | 16 |
| 2016 Diciembre | 27 | 5 | 32 |
| 2016 Noviembre | 20 | 12 | 32 |
| 2016 Octubre | 29 | 7 | 36 |
| 2016 Septiembre | 28 | 6 | 34 |
| 2016 Agosto | 25 | 7 | 32 |
| 2016 Julio | 26 | 14 | 40 |
| 2016 Junio | 13 | 8 | 21 |
| 2016 Mayo | 6 | 9 | 15 |
| 2016 Abril | 9 | 10 | 19 |
| 2016 Marzo | 11 | 8 | 19 |
| 2016 Febrero | 4 | 12 | 16 |
| 2016 Enero | 10 | 8 | 18 |
| 2015 Diciembre | 10 | 3 | 13 |
| 2015 Noviembre | 18 | 6 | 24 |
| 2015 Octubre | 5 | 3 | 8 |
| 2015 Septiembre | 9 | 3 | 12 |
| 2015 Agosto | 9 | 3 | 12 |
| 2015 Julio | 32 | 6 | 38 |
| 2015 Junio | 14 | 5 | 19 |
| 2015 Mayo | 56 | 8 | 64 |
| 2015 Abril | 25 | 6 | 31 |
| 2015 Marzo | 30 | 6 | 36 |
| 2015 Febrero | 25 | 13 | 38 |
| 2015 Enero | 14 | 13 | 27 |
| 2014 Diciembre | 27 | 10 | 37 |
| 2014 Noviembre | 15 | 12 | 27 |
| 2014 Octubre | 22 | 13 | 35 |
| 2014 Septiembre | 27 | 9 | 36 |
| 2014 Agosto | 39 | 15 | 54 |
| 2014 Julio | 31 | 18 | 49 |
| 2014 Junio | 35 | 9 | 44 |
| 2014 Mayo | 48 | 12 | 60 |
| 2014 Abril | 30 | 8 | 38 |
| 2014 Marzo | 45 | 20 | 65 |
| 2014 Febrero | 28 | 14 | 42 |
| 2014 Enero | 30 | 14 | 44 |
| 2013 Diciembre | 36 | 14 | 50 |
| 2013 Noviembre | 26 | 18 | 44 |
| 2013 Octubre | 24 | 21 | 45 |
| 2013 Septiembre | 28 | 19 | 47 |
| 2013 Agosto | 23 | 29 | 52 |
| 2013 Julio | 40 | 33 | 73 |
| 2013 Junio | 22 | 31 | 53 |
| 2013 Mayo | 25 | 32 | 57 |
| 2013 Abril | 30 | 24 | 54 |
| 2013 Marzo | 39 | 20 | 59 |
| 2013 Febrero | 29 | 12 | 41 |
| 2013 Enero | 7 | 3 | 10 |
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