RECONSTRUCTIVE SURGERY

SKIN CANCER EXCISION AND RECONSTRUCTION

Skin cancer excision and reconstruction is a surgical procedure performed to remove cancerous skin cells and repair the resulting wound or defect. It is commonly used for the treatment of skin cancer, including basal cell carcinoma, squamous cell carcinoma, and melanoma.

PROCEDURE

The first step in the process is the excision of the skin cancer. Dr Sooka carefully removes the cancerous tissue, ensuring that an adequate margin of healthy skin around the tumor is also removed to minimize the risk of recurrence. The size and depth of the excision depend on the type and stage of the skin cancer.

After the cancerous tissue is removed, Dr Sooka focuses on reconstructing the wound to restore both function and aesthetics. The reconstruction techniques used vary depending on the size, location, and complexity of the defect.

For smaller wounds, the edges of the wound may be simply stitched together to facilitate healing. This is known as primary closure. Sutures or stitches are used to bring the edges of the wound together, and the incision is closed with dissolvable or non-dissolvable sutures.
In cases where the defect is larger or where primary closure is not feasible, various techniques can be employed. These may include skin grafts, local flaps, or free tissue transfer.

Skin grafts involve taking a piece of healthy skin, usually from a donor site on the patient's body, and placing it over the wound. The graft is secured in place and allowed to heal, eventually blending in with the surrounding skin. This technique is commonly used for larger defects or areas where primary closure is not possible.

Local flaps involve rearranging adjacent healthy skin to cover the wound. The surgeon carefully designs a flap of skin that is adjacent to the defect and rotates or advances it to cover the wound. This technique allows for a more natural appearance and improved wound healing.

Free tissue transfer, also known as microsurgery, is a complex technique where tissue is transferred from another part of the body, such as the abdomen or thigh, to reconstruct the defect. This involves connecting the blood vessels of the transferred tissue to blood vessels near the wound using microsurgical techniques. Free tissue transfer is typically used for large, complex defects where other methods are not suitable.

The goal of skin cancer excision and reconstruction is not only to remove the cancerous tissue but also to restore functionality and achieve the best possible cosmetic outcome. The specific technique used depends on factors such as the location and size of the defect, the patient's overall health, and the surgeon's expertise.

RECOVERY

Recovery after skin cancer excision and reconstruction depends on the complexity of the procedure and the individual patient. It is normal to experience some discomfort, swelling, and bruising in the treated area. Dr Sooka will provide instructions for wound care, including keeping the area clean and protected during the healing process.

It is important to note that early detection and treatment of skin cancer greatly increase the chances of successful excision and reconstruction. Regular skin checks, especially for individuals with a history of skin cancer or high-risk factors, are crucial for identifying and treating skin cancer at an early stage.

In conclusion, skin cancer excision and reconstruction is a surgical procedure that involves the removal of cancerous skin cells and subsequent reconstruction of the resulting wound. It aims to remove the cancer completely while restoring both function and aesthetics. The specific techniques used depend on the size, location, and complexity of the defect. Early detection and prompt treatment play a vital role in the success of skin cancer excision and reconstruction. If you suspect any abnormal changes on your skin, it is important to consult with a dermatologist or plastic surgeon for evaluation and appropriate management.