Resurfacing the Dorsum of the Hand in a Patient With Xeroderma Pigmentosum

BACKGROUND: One of the most effective treatment methods of Xeroderma pigmentosum (XP) is full resurfacing of the exposed areas with skin grafts. OBJECTIVE: Introduction of a different surgical technique in order to minimize the undamaged skin removal in XP patients in whom multiple surgical procedures will often be necessary. METHOD: A special undulant incision of the graft margins around the metacarpal heads was performed. RESULTS: Both aesthetic and functional results were obtained. CONCLUSION: Although conservative surgical resection is primarily preferred in XP patients, in cases in whom radical surgical intervention is necessary, in order to minimize undamaged skin, surgical technique of choice should be individualized.