Surgical Approaches For Complex Skin Defects In Patients With A History Of Skin Cancer

Introduction: The treatment of complex skin defects in patients with a history of skin cancer requires a multidisciplinary and individualized surgical approach.These cases often involve challenging reconstructions, due to the extent of the resections and previous skin conditions.Objective: A narrative literature review was carried out with the aim of compiling and critically analyzing the surgical approaches described in the literature for the reconstruction of complex skin defects in patients with a history of skin cancer and comparing different surgical approaches used to treat complex defects related to skin cancer.Methodology:The review followed systematic steps to ensure the comprehensiveness and quality of the data collected.Techniques such as skin grafts, local and regional flaps and, in more severe cases, microsurgical flaps, were evaluated and discussed based on factors such as the location of the defect, type of cancer, comorbidities and the patient's quality of life.Results and Discussion: Surgical planning includes the analysis of aesthetic and functional aspects, as well as the need for adequate oncological control.In addition, the management of irradiated tissues or those previously submitted to surgery requires additional care to ensure vascularization and avoid complications.Conclusions: Advances in technology, such as 3D simulation and biomaterials, have contributed to better clinical and aesthetic results.