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Melanoma pp 437-450 | Cite as

Operative Techniques for Melanoma

  • Soraya A. Voigt
  • Catalina Mosquera
  • Nasreen A. Vohra
Chapter

Abstract

This chapter will focus on the various operative techniques for biopsy and excision of cutaneous melanoma as well as the assessment and dissection of regional lymph node basins. The technique of performing a shave, punch, and incisional biopsy is reviewed, along with the advantages and disadvantages of each approach. This is followed by a discussion about standard recommendations regarding margins for wide excision and how to approach a wide excision of a melanoma in difficult areas like the nail beds, digits, and the heel. Common reconstructive techniques for tissue defects such as local tissue advancement and rhomboid flaps, as well as VY flaps, are described. Finally, complete lymph node dissection techniques are described in detail for the axillary, inguinal, and cervical lymph node basins.

Keywords

Biopsy Wide excision Operative techniques Sentinel node biopsy Complete lymph node dissection Reconstruction Skin grafts Flaps 

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Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  • Soraya A. Voigt
    • 1
  • Catalina Mosquera
    • 1
  • Nasreen A. Vohra
    • 1
  1. 1.Division of Surgical Oncology, Department of SurgeryBrody School of Medicine at East Carolina UniversityGreenvilleUSA

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