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Öğe Dermatofibrosarcoma protuberans: Analysis of 14 cases treated with wide excision(2013) Durgun M.; Selçuk C.T.; Özalp B.; Özakplnar H.R.; Seven E.; Bozkurt M.; Tellioğlu A.T.Introduction: Dermatofbrosarcoma protuberans is a painless, slow growing, plaque or noduler shaped fbrocystic tumor taking origin from dermis and subcutaneous tissue. In this study 14 patients operated because of dermatofbrosar-coma protuberans has been evaluated for sufcient surgical border and reccurence.Material and Methods: Patiens included in this study were operated between January 2007-October 2012 in Dlşkapl Ylldlrlm Beyazit Training and Research Hospital Department of Plastic Reconstructive and Aesthetic Surgery and Dicle University Plastic Reconstrucitve and Aesthetic Surgery diagnosed with dermatofbrosarcoma protuberans. Patients evaluated for age, sex, reconstructive method and postoperative follow duration. Lesions excised widely including 4 cm of intact skin border and fasia below.Results: Among 14 patients who were included 6 were male 8 were female. Age of patients varied between 18-89 with an average of 45 years. Lesions were on trunk in 9 patients (%64), on upper extremity in 3 patients (%21), and on lower extremity in 2 patients (%15). Average follow up duration were 21 months. A patient with a lesion on wrist recieved radiotherapy additional to surgery. No reccurence observed in any patient.Conclusions: In our study, a wide excision of skin with 4 cm can provide histopathologically negative border.Öğe High voltage upper extremity electrical burns repair with groin flap(2012) Selçuk C.T.; Bozkurt B.; Durgun M.; Özalp B.; Kapi E.; Akkoç M.F.Upper extremities are significantly affected by high-voltage electrical injuries. In this study, the repair of the upper extremity tissue defects due to high-voltage electrical injuries using groin flaps is discussed. Methods: Ten patients who developed upper extremity tissue defects following high-voltage (>1000 V) electrical injuries between April 2009 and October 2011 were enrolled in our study. All the patients underwent reconstructions with pedicled groin flaps. All the patients were male. The areas on which the reconstructions were performed were hand and wrist areas where structures like the bones, tendons and nerves are accessible. The separation of the pedicles was performed on days 20-27 (average period: 23 days) after the pedicle ligation examination revealed no problems. Result: Adequate soft tissue coverage was obtained in all patients following the reconstruction. All the flaps healed without problem. No donor area morbidity was observed. No articular rigidity related to the operation was observed in any of the patients. Conclusion: We are of the opinion that in soft tissue defects that form in the upper extremities subsequent to high-voltage electrical injuries, when local flaps or free tissue transplants are risky or inapplicable, reconstruction with pedicled groin flaps constitutes an ideal treatment alternative.