Abstract

MANAGEMENT OF MALIGNANT INGUINAL GROWTH BY WIDE LOCAL EXCISION WITH SKIN GRAFTING - A CASE REPORT

*Dr. Madhavi Banarase and **Dr. B. N. Deshpande

Abstract

Introduction: Plastic surgery is used for restoring the form of the body. Acharya Sushruta, the ancient Indian Surgeon is recognised as a father of plastic surgery. Sushruta made important contributions to the field of plastic surgery. Treatments for the plastic repair of a broken nose are, some of the oldest known reconstructive surgery techniques were being carried out in India. Skin grafting is a surgical procedure that involves removing the skin from one area of the body and moving it, or transplanting it, to a different area of the body. Skin grafting is often used to treat extensive wounding or trauma, burn, after excising skin cancer where skin loss is more. Case Presentation: A sixty years male patient had come with non-healing ulcer at rt.inguinal region since two years. There was an ugly growth with unhealthy granulation tissue with slough and everted, rolled out edges, which bled on touching. Biopsy showed metastatic malignant growth. Its primary focus was unknown. Management and Outcome: wide local excision was done. The growth was excised along with skin and underlining muscle. And to cover the raw area pedicle graft of lateral aspect of the same thigh was used. This pedicle was selected along with skin and underling tissue allowing its vascular supply remained intact. It was sutured. To cover the raw area of this donor site split skin graft was performed. Discussion: This case report proved that after excision of malignant inguinal growth, when primary closure was not possible, skin grafting showed fast wound healing without any contracture.

Keywords: Plastic surgery, Skin grafting, necrotising fasciitis, skin cancers, debridement.