Immediate versus Delayed Sarcoma Reconstruction: Impact on Outcomes

Kyle J. Sanniec, Cristine S. Velazco, Lyndsey A. Bryant, Nan Zhang, William J Casey Iii, Raman C. Mahabir, Alanna M. Rebecca

Research output: Contribution to journalArticle

4 Citations (Scopus)

Abstract

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.

Original languageEnglish (US)
Article number7972318
JournalSarcoma
Volume2016
DOIs
StatePublished - 2016

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Sarcoma
Limb Salvage
Seroma
Wounds and Injuries
Hematoma
Surgical Wound Infection
Debridement
Infection
Postoperative Period
Drainage
Extremities
Anti-Bacterial Agents
Morbidity
Survival
Incidence
Population
Neoplasms

ASJC Scopus subject areas

  • Oncology
  • Radiology Nuclear Medicine and imaging

Cite this

Sanniec, K. J., Velazco, C. S., Bryant, L. A., Zhang, N., Iii, W. J. C., Mahabir, R. C., & Rebecca, A. M. (2016). Immediate versus Delayed Sarcoma Reconstruction: Impact on Outcomes. Sarcoma, 2016, [7972318]. https://doi.org/10.1155/2016/7972318

Immediate versus Delayed Sarcoma Reconstruction : Impact on Outcomes. / Sanniec, Kyle J.; Velazco, Cristine S.; Bryant, Lyndsey A.; Zhang, Nan; Iii, William J Casey; Mahabir, Raman C.; Rebecca, Alanna M.

In: Sarcoma, Vol. 2016, 7972318, 2016.

Research output: Contribution to journalArticle

Sanniec, KJ, Velazco, CS, Bryant, LA, Zhang, N, Iii, WJC, Mahabir, RC & Rebecca, AM 2016, 'Immediate versus Delayed Sarcoma Reconstruction: Impact on Outcomes', Sarcoma, vol. 2016, 7972318. https://doi.org/10.1155/2016/7972318
Sanniec KJ, Velazco CS, Bryant LA, Zhang N, Iii WJC, Mahabir RC et al. Immediate versus Delayed Sarcoma Reconstruction: Impact on Outcomes. Sarcoma. 2016;2016. 7972318. https://doi.org/10.1155/2016/7972318
Sanniec, Kyle J. ; Velazco, Cristine S. ; Bryant, Lyndsey A. ; Zhang, Nan ; Iii, William J Casey ; Mahabir, Raman C. ; Rebecca, Alanna M. / Immediate versus Delayed Sarcoma Reconstruction : Impact on Outcomes. In: Sarcoma. 2016 ; Vol. 2016.
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