The Present and the Future of ALT Free Flap: Regeneration Concept in Lower Extremities Reconstruction

Melanoma is a malignant tumor that originates from the melanocytes, primarily involving the skin. Its incidence is rising worldwide in the white population, especially in those areas where fair-skinned peoples receive excessive sun exposure. 1 The incidence of cutaneous melanoma has increased at rapid rate during the last 50 years, much higher than any other cancer in the world, with an estimated 91 270 new cases in 2018 only in the United States. 2 Such alarming epidemiological data show that melanoma is a major public health problem and it requires further attention.The principal clinical and histological melanomas' subtypes are as follows: superficial spreading melanoma, lentigo maligna melanoma, nodular melanoma, and acral lentiginous melanoma (ALM). 1 Despite being the least common of the four major subtypes, it has been reported that 7% of all cutaneous melanomas are located at acral

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The utility of portable negative pressure wound therapy in the management of prosthetic dialysis arteriovenous graft infection

Morimoto

Tanabe

Imono

et al. 2020

J Vasc Access

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The management of prosthetic dialysis arteriovenous graft infection comprises antibiotic treatment and total or partial excision of infected grafts for infectious source control. Partial excision with graft bypass is an important graft preservation strategy for localized infection but carries a higher reinfection risk. Here, we report a case of prosthetic graft infection that was successfully treated with partial excision, a graft bypass procedure, and a portable negative pressure wound therapy system, PICO, applied to the open wound postoperatively. The combined approach may be a useful strategy that decreases reinfection risk, shortens the length of hospital stay, and preserves graft patency.

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The Present and the Future of ALT Free Flap: Regeneration Concept in Lower Extremities Reconstruction

Cited by 4 publications

References 11 publications

The impact of negative pressure wound therapy for closed surgical incisions on surgical site infection: A systematic review and meta-analysis

The impact of negative pressure wound therapy for closed surgical incisions on surgical site infection: A systematic review and meta-analysis

Acral lentiginous melanoma: A retrospective study

The utility of portable negative pressure wound therapy in the management of prosthetic dialysis arteriovenous graft infection

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