Flap Reconstruction Outcome Following Surgical Resection of Soft Tissue and Bone Sarcoma in the Setting of (Neo)adjuvant Therapy: A Sarcoma Center Experience
Background: Soft tissue and bone sarcomas are heterogeneous groups of malignant tumors. The shift in their management, with an emphasis on limb salvage, has deemed the involvement of reconstructive surgeons an integral part of their multidisciplinary treatment. We present our experience with free an...
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| Format: | Article |
| Language: | English |
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MDPI AG
2023-04-01
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| Series: | Cancers |
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| Online Access: | https://www.mdpi.com/2072-6694/15/9/2423 |
| _version_ | 1797602928490446848 |
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| author | Ioana Lese Crinu Baesu Isabel Arenas Hoyos Michael-Alexander Pais Frank Klenke Attila Kollar Codruta Ionescu Mihai Constantinescu Radu Olariu |
| author_facet | Ioana Lese Crinu Baesu Isabel Arenas Hoyos Michael-Alexander Pais Frank Klenke Attila Kollar Codruta Ionescu Mihai Constantinescu Radu Olariu |
| author_sort | Ioana Lese |
| collection | DOAJ |
| description | Background: Soft tissue and bone sarcomas are heterogeneous groups of malignant tumors. The shift in their management, with an emphasis on limb salvage, has deemed the involvement of reconstructive surgeons an integral part of their multidisciplinary treatment. We present our experience with free and pedicled flaps in the reconstruction of sarcomas at a tertiary referral university hospital and major sarcoma center. Materials and Methods: All patients undergoing flap reconstruction after sarcoma resection over a 5-year period have been included in the study. Patient-related data and postoperative complications were collected retrospectively, ensuring a minimum follow-up of 3 years. Results: A total of 90 patients underwent treatment with 26 free flaps and 64 pedicled flaps. Postoperative complications occurred in 37.7% of patients, and the flap failure rate was 4.4%. Diabetes, alcohol consumption and male gender were associated with increased early necrosis of the flap. Preoperative chemotherapy significantly increased the occurrence of early infection and late dehiscence, while preoperative radiotherapy was associated with a higher incidence of lymphedema. Intraoperative radiotherapy was associated with late seromas and lymphedema. Conclusions: Reconstructive surgery with either pedicled or free flaps is reliable, but it can be demanding in the setting of sarcoma surgery. A higher complication rate is to be expected with neoadjuvant therapy and with certain comorbidities. |
| first_indexed | 2024-03-11T04:23:28Z |
| format | Article |
| id | doaj.art-a678a60c43b84abd8682955a2410dd5a |
| institution | Directory Open Access Journal |
| issn | 2072-6694 |
| language | English |
| last_indexed | 2024-03-11T04:23:28Z |
| publishDate | 2023-04-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Cancers |
| spelling | doaj.art-a678a60c43b84abd8682955a2410dd5a2023-11-17T22:39:31ZengMDPI AGCancers2072-66942023-04-01159242310.3390/cancers15092423Flap Reconstruction Outcome Following Surgical Resection of Soft Tissue and Bone Sarcoma in the Setting of (Neo)adjuvant Therapy: A Sarcoma Center ExperienceIoana Lese0Crinu Baesu1Isabel Arenas Hoyos2Michael-Alexander Pais3Frank Klenke4Attila Kollar5Codruta Ionescu6Mihai Constantinescu7Radu Olariu8Department of Plastic and Hand Surgery, Inselspital, Bern University Hospital, 3008 Bern, SwitzerlandDepartment of Plastic and Hand Surgery, Inselspital, Bern University Hospital, 3008 Bern, SwitzerlandDepartment of Plastic and Hand Surgery, Inselspital, Bern University Hospital, 3008 Bern, SwitzerlandDepartment of Plastic and Hand Surgery, Inselspital, Bern University Hospital, 3008 Bern, SwitzerlandDepartment of Orthopedic Surgery, Inselspital, Bern University Hospital, 3010 Bern, SwitzerlandDepartment of Medical Oncology, Inselspital, Bern University Hospital, 3012 Bern, SwitzerlandDepartment of Radiation Oncology, Inselspital, Bern University Hospital, 3012 Bern, SwitzerlandDepartment of Plastic and Hand Surgery, Inselspital, Bern University Hospital, 3008 Bern, SwitzerlandDepartment of Plastic and Hand Surgery, Inselspital, Bern University Hospital, 3008 Bern, SwitzerlandBackground: Soft tissue and bone sarcomas are heterogeneous groups of malignant tumors. The shift in their management, with an emphasis on limb salvage, has deemed the involvement of reconstructive surgeons an integral part of their multidisciplinary treatment. We present our experience with free and pedicled flaps in the reconstruction of sarcomas at a tertiary referral university hospital and major sarcoma center. Materials and Methods: All patients undergoing flap reconstruction after sarcoma resection over a 5-year period have been included in the study. Patient-related data and postoperative complications were collected retrospectively, ensuring a minimum follow-up of 3 years. Results: A total of 90 patients underwent treatment with 26 free flaps and 64 pedicled flaps. Postoperative complications occurred in 37.7% of patients, and the flap failure rate was 4.4%. Diabetes, alcohol consumption and male gender were associated with increased early necrosis of the flap. Preoperative chemotherapy significantly increased the occurrence of early infection and late dehiscence, while preoperative radiotherapy was associated with a higher incidence of lymphedema. Intraoperative radiotherapy was associated with late seromas and lymphedema. Conclusions: Reconstructive surgery with either pedicled or free flaps is reliable, but it can be demanding in the setting of sarcoma surgery. A higher complication rate is to be expected with neoadjuvant therapy and with certain comorbidities.https://www.mdpi.com/2072-6694/15/9/2423sarcomasoft tissuebonereconstructive surgeryfree and pedicled flapneoadjuvant and adjuvant therapy |
| spellingShingle | Ioana Lese Crinu Baesu Isabel Arenas Hoyos Michael-Alexander Pais Frank Klenke Attila Kollar Codruta Ionescu Mihai Constantinescu Radu Olariu Flap Reconstruction Outcome Following Surgical Resection of Soft Tissue and Bone Sarcoma in the Setting of (Neo)adjuvant Therapy: A Sarcoma Center Experience Cancers sarcoma soft tissue bone reconstructive surgery free and pedicled flap neoadjuvant and adjuvant therapy |
| title | Flap Reconstruction Outcome Following Surgical Resection of Soft Tissue and Bone Sarcoma in the Setting of (Neo)adjuvant Therapy: A Sarcoma Center Experience |
| title_full | Flap Reconstruction Outcome Following Surgical Resection of Soft Tissue and Bone Sarcoma in the Setting of (Neo)adjuvant Therapy: A Sarcoma Center Experience |
| title_fullStr | Flap Reconstruction Outcome Following Surgical Resection of Soft Tissue and Bone Sarcoma in the Setting of (Neo)adjuvant Therapy: A Sarcoma Center Experience |
| title_full_unstemmed | Flap Reconstruction Outcome Following Surgical Resection of Soft Tissue and Bone Sarcoma in the Setting of (Neo)adjuvant Therapy: A Sarcoma Center Experience |
| title_short | Flap Reconstruction Outcome Following Surgical Resection of Soft Tissue and Bone Sarcoma in the Setting of (Neo)adjuvant Therapy: A Sarcoma Center Experience |
| title_sort | flap reconstruction outcome following surgical resection of soft tissue and bone sarcoma in the setting of neo adjuvant therapy a sarcoma center experience |
| topic | sarcoma soft tissue bone reconstructive surgery free and pedicled flap neoadjuvant and adjuvant therapy |
| url | https://www.mdpi.com/2072-6694/15/9/2423 |
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