title: Reconstruction of skin defects after radical excision of anorectal giant condyloma acuminatum: 6 cases.
abstract: The authors report six cases of giant condyloma accuminatum and evaluate the use of mesh-skin grafts in covering the skin defect after radical local excision of perianal giant condyloma acuminatum. Medical records of six patients suffering from the giant condylomata acuminata and treated surgically at the Department of Surgery, Clinical Hospital Center Zagreb, were examined. Use of mesh-skin grafts in covering the skin defect after radical local excision of GCA was compared to other methods of treating the skin defect after radical excision of perianal lesions such as secondary wound healing. Four patients were treated by radical local excision and two patients were treated by abdominoperineal resection. There were partial graft failures (satisfactory result) in all patients and complete healing took about 3 to 4 weeks from time of grafting. A mesh-skin graft was used to cover the skin defect. There were no recurrences, wound infections, wound bleeding, hypertrophic scars, or mesh-like skin appearance of the recipient site. Therefore a good cosmetic and functional result was achieved. Use of mesh-grafts in covering the wounds after radical excision of anorectal giant condylomata acuminata compares favorably to healing by secondary intention in terms of wound healing time, and gives good functional and cosmetic results.
authors.affiliation: Department of Surgery, University Hospital Center, Zagreb, Croatia. tomica@mef.hr
authors.forename: Tomislav
authors.initials: T
authors.lastname: Mestrović
authors.forename: Josip
authors.initials: J
authors.lastname: Cavcić
authors.forename: Pero
authors.initials: P
authors.lastname: Martinac
authors.forename: Josip
authors.initials: J
authors.lastname: Turcić
authors.forename: Bozidar
authors.initials: B
authors.lastname: Zupancić
authors.forename: Ana Marija
authors.initials: AM
authors.lastname: Cavcić
authors.forename: Zeljko
authors.initials: Z
authors.lastname: Jelincić
mesh_terms: D000328:Adult; D001004:Anus Diseases / Q000175:diagnosis / Q000601:surgery*; D003218:Condylomata Acuminata / Q000175:diagnosis / Q000601:surgery*; D005260:Female; D005500:Follow-Up Studies; D006085:Graft Survival; D006801:Humans; D008297:Male; D008875:Middle Aged; D019651:Plastic Surgery Procedures / Q000379:methods; D012002:Rectal Diseases / Q000175:diagnosis / Q000601:surgery*; D018570:Risk Assessment; D012494:Sampling Studies; D012720:Severity of Illness Index; D013524:Surgical Flaps; D013526:Surgical Mesh; D016896:Treatment Outcome; D014945:Wound Healing / Q000502:physiology