REVIEW ARTICLE
Plastic Surgery
doi: 10.25005/2074-0581-2025-27-3-723-735
CURRENT METHODS OF SKIN RECONSTRUCTION SURGERY

S.P. PYATAKOV1, V.A. PORKHANOV2, I.V. RESHETOV3,4, M.L. MUKHANOV1, A.K. BEREZHNOY5, T.O. SERGEEVA5, S.N. PYATAKOVA6, A.D. CHAYKA6, A.B. MOTIKOV7

1Department of Surgery No. 1, Kuban State Medical University, Krasnodar, Russian Federation
2Scientific Research Institute – Regional Clinical Hospital No. 1 named after Professor Ochapovsky, Krasnodar, Russian Federation
3Levshin Institute of Cluster Oncology, I.M. Sechenov First Moscow State Medical University, Moscow, Russian Federation
4Department of Oncology, Radiotherapy and Plastic Surgery, N.V. Sklifosovsky Institute of Clinical Medicine, I.M. Sechenov First Moscow State Medical University, Moscow, Russian Federation
5Laboratory of Experimental and Cellular Medicine, Moscow Institute of Physics and Technology (National Research University), Moscow, Russian Federation
6Sochi City Hospital No. 4, Sochi, Russian Federation
7Sochi City Hospital No. 3, Sochi, Russian Federation

The article reviews the current literature on modern approaches to treating skin defects. The research was based on publications from the last decade, specifically from 2005 to 2024, sourced from eLibrary.ru, cyberleninka.ru, PubMed, and Scopus. The search utilized keywords such as "wounds", "skin defects", "healing", "skin grafts", and "prolonged tissue expansion”. A total of 42 publications that met the search criteria were selected for review, including 21 studies from the past five years. The analysis focused on publications related to the surgical treatment of extensive soft tissue defects using various wound closure techniques, including skin grafting. Articles that addressed the topic but did not describe the surgical aspects of treatment were excluded.

The article covers wound management, including skin edge excisional debridement, followed by closure using various plastic surgery techniques. It presents the advantages and disadvantages of using skin flaps, skin grafts, and local flaps for closing extensive skin defects. Recently, the prolonged tissue expansion (PTE) technique has gained popularity, and the article highlights its potential as a promising method for treating extensive skin defects. Additionally, it covers methods for stimulating reparative processes. The combination of reconstructive plastic closure techniques appears to be promising, as it leads to better functional and aesthetic outcomes.

Keywords: Wounds, skin defects, healing, skin grafts, prolonged tissue expansion.

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Authors' information:

Pyatakov Stanislav Nikolaevich,
Doctor of Medical Sciences, Associate Professor, Associate Professor of the Department of Surgery No. 1, Kuban State Medical University
Scopus ID: 57194482436
ORCID ID: 0000-0002-3096-0008
SPIN: 1386-0007
Author ID: 691148
E-mail: spyatakov@inbox.ru

Porkhanov Vladimir Alekseevich,
Academician of the Russian Academy of Sciences, Doctor of Medical Sciences, Full Professor, Chief Physician, Scientific Research Institute – Regional Clinical Hospital No. 1 named after Professor Ochapovsky
Researcher ID: O-9470-2017
Scopus ID: 6602279459
ORCID ID: 0000-0003-0572-1395
SPIN: 2446-5933
Author ID: 682896
E-mail: kkb1@mail.ru

Reshetov Igor Vladimirovich,
Academician of the Russian Academy of Sciences, Doctor of Medical Sciences, Full Professor, Director of the Levshin Institute of Cluster Oncology; Head of the Department of Oncology, Radiotherapy and Plastic Surgery, N.V. Sklifosovsky Institute of Clinical Medicine, I.M. Sechenov First Moscow State Medical University
Researcher ID: J-7005-2014
Scopus ID: 6701353127
ORCID ID: 0000-0002-0909-6278
SPIN: 3845-6604
Author ID: 103745
E-mail: reshetoviv@mail.ru

Mukhanov Mikhail Lvovich,
Candidate of Medical Sciences, Associate Professor, Associate Professor of the Department of Surgery No. 1, Kuban State Medical University
Scopus ID: 57194408950
ORCID ID: 0000-0002-9061-6014
SPIN: 3684-9725
Author ID: 818395
E-mail: pputinn@yandex.ru

Berezhnoy Andrey Konstantinovich,
Engineer, Laboratory of Experimental and Cellular Medicine, Moscow Institute of Physics and Technology (National Research University)
Scopus ID: 57789962500
ORCID ID: 0000-0001-8484-6510
SPIN: 7141-0530
Author ID: 1202627
E-mail: berezhnoi.ak@phystech.edu

Sergeeva Tatyana Olegovna,
Engineer, Laboratory of Experimental and Cellular Medicine, Moscow Institute of Physics and Technology (National Research University)
Scopus ID: 57789962500
ORCID ID: 0009-0004-2753-8270
E-mail: sergeeva2969@yandex.ru

Pyatakova Svetlana Nikolaevna,
Deputy Chief Physician for Organizational and Methodological Work, Surgeon, Sochi City Hospital No. 4
ORCID ID: 0009-0000-7808-5233
E-mail: s_pyatakova@inbox.ru

Chayka Aleksandr Dmitrievich,
Surgeon, Department of Purulent Surgery, Sochi City Hospital No. 4
ORCID ID: 0000-0006-5303-269X
E-mail: chaika.work@mail.ru

Motikov Artyom Borisovich,
Head of the Surgical Department No. 2, Sochi City Hospital No. 3
ORCID ID: 0009-0005-2702-7793
E-mail: motikoff@mail.ru

Information about support in the form of grants, equipment, medications

This article presents the findings of a study conducted as part of a project that won the "Priority 2030" competition at Kuban State Medical University, Russia. The authors did not receive financial support from manufacturers of medicines and medical equipment

Conflicts of interest: No conflict

Address for correspondence:

Pyatakov Stanislav Nikolaevich
Doctor of Medical Sciences, Associate Professor, Associate Professor of the Department of Surgery No. 1, Kuban State Medical University

350063, Russian Federation, Krasnodar, Mitrofan Sedin str., 4 (Central microdistrict)

Tel.: +7 (918) 4755575

E-mail: spyatakov@inbox.ru


This work is licensed under a Creative Commons Attribution 4.0 International License.

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