Complete Skin Resection of the Dorsum of the Hand: A Prophylactic Approach Using a Dermal Regeneration Template

Abstract

French

Background:

Surgical treatment of multiple and recurring invasive carcinomas on the dorsum of the hand often results in a reconstructive challenge. Reconstruction is limited due to reduced adjacent tissue. Preserving the functionality of the hand is pivotal and needs to be respected while planning reconstruction.

Objective:

We present a case of extensive, multiple, and recurring invasive squamous cell carcinoma on the dorsum of the hand and describe a prophylactic surgical approach.

Methods:

We performed a radical excision of the skin on the dorsum of the hand and surgical reconstruction using a bilayer dermal skin substitute and split-thickness skin grafting.

Results:

After a 1-year follow-up, we observed an excellent cosmetic and functional result with no signs of recurrence.

Conclusions:

In case of extensive invasive squamous cell carcinoma on the dorsum of the hand, prophylactic resection and surgical reconstruction using a dermal regeneration template should be considered.

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