Department of Plastic Surgery, Faisal Hospital, PakistanFulltext PDF
Objective: To evaluate the role of plastic surgical techniques in limb salvage of extremity Soft Tissue Sarcoma (STS). Historically, the surgical treatment of soft tissue sarcoma does not routinely discuss reconstruction option because amputation was the mainstay of the treatment. The acceptable treatment protocol for extremity sarcoma has evolved to include limb-sparing resection of the tumor in combination with radiation and/or chemotherapy. Study Design: Retrospective case series analytic study. Setting: Department of Plastic Surgery, HMG Olaya Medical Centre, Riyadh, KSA and Department of Plastic Surgery, Independent Medical College, Faisalabad, Pakistan. Period: From July 2011 to June 2016. Material and Methods: A total of six patients with the extremity STS were included in this study. Three male and 3 female patients were included in this study that underwent for surgical resection and reconstruction. Patients who were unresectable tumors or not fit for surgery were excluded from the study. Results: We have achieved the better results with plastic surgical techniques after limb-sparing resections in selected group of patients and improvement in the survival rate. One patient out six had recurrence six months after the excision and reconstruction of extremity STS and did not survive and got rest in peace after eight months due to local and regional recurrence. Conclusion: We recommend reconstructive plastic surgical procedures for the management of extremity STS to avoid limb amputation and less loss of function. The patients have a better quality of life, superior function, improved self-esteem, and an intact body image.
Sarcoma; Extremity; Limb salvage; Plastic surgery
Alam M. Limb Salvage in Extremity Soft Tissue Sarcoma. Clin Surg. 2019; 4: 2620.