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Conclusion/Summary

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Atlas of Keystone Reconstructive Technique in Melanoma Management

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Abstract

The Keystone concept emphasizes the role of the dermatome precincts and the intrinsic neuro-cutaneous vascular supply of the human skin. These flaps are robust all over the body and vascular complications are rare in most loco-regional repairs. However, in diabetics type II and the immunocompromised, sometimes vascular complications occur with tight closures. The 3-phase technique of sutures simplifies repair in spite of elements of tension existing in wound margin apposition. Blood vessels and lymphatic vessels follow nerves, so the Keystones are based on random multiple arterial perforators which may require dissection, their venae comitantes and the fine vascular networks that accompany nerves, all within the dermatomal mark outs an embryological observation and characteristic. The Keystone is a very straightforward flap to raise quickly, safely and will often avoid the need for more complex, time-consuming, risky and more expensive methods of repair. In this Atlas ranging from head to toe all feature singularly or collectively Keystone closure characteristics of P.A.C.E.S. and have achieved a sound and reliable repair are featured.

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Authors and Affiliations

  1. Department of Surgery, St. Vincent’s Hospital, University of Melbourne, Melbourne, VIC, Australia

    Felix Behan

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  1. Felix Behan
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Correspondence to Felix Behan .

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Behan, F. (2023). Conclusion/Summary. In: Atlas of Keystone Reconstructive Technique in Melanoma Management. Springer, Cham. https://doi.org/10.1007/978-3-031-39868-1_6

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  • DOI: https://doi.org/10.1007/978-3-031-39868-1_6

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-031-39867-4

  • Online ISBN: 978-3-031-39868-1

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