VASCULARIZED TISSUE'FLAPS VERSUS CONVENTIONAL SKIN APPROJCIMATION FOR CLOSURE OF IRRADIATED WOUNDS AFTER SOFT TISSUE SARCOMA RESECTION
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24 Patients with soft tissue sarcomas were included in the present study. Preoperative irradiation was performed in all patients before tumor extirpation. Primary closure with vascularized tissue (flaps) was compared with conventional wound closure by skin approximation and the first Led to lesser complications (10 versus 50%) and shorter average hospitalization (13 versus 25 days). Secondary procedures were more frequently necessary after conventional closure than after flap closure (30% versus 8.3 96). The conclusion is that vascularized tissue flaps for primary wound closure in irradiated tissue leads to improved wound healing, and should be considered the procedure of choice for covering heavily irradinted defects after soft tissue sarcoma resection.