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Successful outcome of early ambulation after extensive skin grafting in extramammary Paget's disease.
- Source :
-
The Journal of dermatology [J Dermatol] 2018 Dec; Vol. 45 (12), pp. 1456-1458. Date of Electronic Publication: 2018 Sep 14. - Publication Year :
- 2018
-
Abstract
- Extramammary Paget's disease (EMPD) is a rare cutaneous malignancy that mainly affects the senior population. There is a relatively high risk of postoperative complications from surgery in the senior population, such as disuse syndrome, deep vein thrombosis and postoperative delirium. To prevent such postoperative complications, early ambulation is recommended. However, EMPD often requires extensive skin grafting because of the need for a large resection margin. To avoid skin graft failure, many institutions require that patients have several days of postoperative bedrest. For these reasons, there has been no consensus on standard postoperative rest for EMPD. In this study, we defined 20 patients who walked from the day after surgery as an "early ambulation group" and 23 patients with 5 days postoperative bedrest as a "control group". We evaluated the skin graft survival, postoperative complications and the duration of hospitalization for both groups. Skin graft survival and complications related to the surgical wounds (infection and hemorrhage) in the early ambulation group were found to be comparable with those in the control group. Of note, the other complications (aspiration pneumonia, ileus, delirium, orthostatic hypotension and insomnia) were less frequent (P < 0.001) and the duration of postoperative hospitalization was shorter (P = 0.013) in the early ambulation group than in the control group. Our study suggests that early ambulation after surgery for EMPD does not impair skin graft survival but reduces postoperative complications and the duration of hospitalization.<br /> (© 2018 Japanese Dermatological Association.)
- Subjects :
- Aged
Aged, 80 and over
Female
Graft Survival
Humans
Length of Stay statistics & numerical data
Male
Margins of Excision
Middle Aged
Postoperative Complications epidemiology
Postoperative Complications etiology
Time Factors
Treatment Outcome
Early Ambulation methods
Paget Disease, Extramammary surgery
Postoperative Complications prevention & control
Skin Neoplasms surgery
Skin Transplantation adverse effects
Subjects
Details
- Language :
- English
- ISSN :
- 1346-8138
- Volume :
- 45
- Issue :
- 12
- Database :
- MEDLINE
- Journal :
- The Journal of dermatology
- Publication Type :
- Academic Journal
- Accession number :
- 30216499
- Full Text :
- https://doi.org/10.1111/1346-8138.14645