Atlas of melanoma plastic surgery by Daniele Gandini, plastic surgeon, San Rossore Hospital, Pisa
Antiestetic scars from old melanoma surgery (Olsen surgery)
Minimal melanoma scars after melanoma plastic surgery
Limberg skin flap
Small skin graft can be done
Sentinel limph node biopsy: injection of blue dye
The surgeon will make a small incision (usually one-half inch) and remove the sentinel node(s) for a pathologist to examine under a microscope
hand-held gamma ray counter (called a Geiger counter) to detect the radioactive technetium-99
Nodular malignant melanoma and clinically positive regional lymph nodes
Large melanoma: we can perform an intralesional biopsy before demolitive surgery (Lisfranc amputation:amputation of the foot at the tarsometatarsal joint, the plantar soft tissues being preserved to make the flap
Melanoma metastasis must be removed
12a: plastic surgery of metastatic melanoma can give a better quality of life
12 b
12 c
Skin necrosis after surgical incorrect removal of melanoma
Satellitosis close to melanoma melanoma surgical scar
Skin grafts from the skin of the groin gives the best estetic results
Large areas are covered with skin grafts (Thiersh)