Surgical Management of Vitiligo

Somesh Gupta, MD, DNB Department of Dermatology and Venereology All India Institute of Medical Sciences New Delhi, India

Although vitiligo has traditionally been very difficult to treat, a new breakthrough surgical treatment is expanding options for practitioners and patients. Standard treatments depend on the severity of the condition and the patient′s feelings of disfigurement. Cover-up cosmetics work well for some people.

Section 1 Pathogenesis and Medical Treatment. 1 Pathogenesis of Vitiligo. (Jean-Paul Ortonne). 2 Understanding the Mechanism of Repigmentation in Vitiligo. (Amrinder J. Kanwar and Davinder Parsad). 3 Classification of Vitiligo. (Sang Ju Lee, Sung Bin Cho and Seung-Kyung Hann). 4 Medical Treatment of Vitiligo. (Thierry Passeron and Jean-Paul Ortonne). Section 2 Overview of Surgical Management. 5 History and chronology of development of surgical therapies for vitiligo. (Rafael Falabella). 6 The Concept of Stability of Vitiligo. (Koushik Lahiri and Subrata Malakar). 7 Patient Selection and Preoperative Information in Surgical Therapies for Vitiligo. (Nanny van Geel and Jean Marie Naeyaert). 8 Classification of Surgical Therapies for Vitiligo. (Philippe Bahadoran and Jean-Paul Ortonne). 9 Surgical Management of Vitiligo and Other Leukodermas: Evidence-based Practice Guidelines. (Somesh Gupta, Tarun Narang, Mats J. Olsson and Jean-Paul Ortonne). 10 Evaluation of Outcome in Surgical Therapies for Vitiligo. (Nanny van Geel and Jean Marie Naeyaert). Section 3 Tissue Grafting. 11 Minigrafting for Vitiligo. (Subrata Malakar and Koushik Lahiri). 12 Suction Blister Epidermal Grafting. (Somesh Gupta and Ashima Goel). 13 Thin Split-thickness Skin Grafts for Vitiligo. (Niti Khunger). 14 Treatment of Leukoderma by Transplantation of Ultra-thin Epidermal Sheets. (Mats J. Olsson). 15 Transplantation of Hair Follicles for Vitiligo. (Subrata Malakar, Gun Yoen Na and Koushik Lahiri). 16 Mesh Grafts for Vitiligo. (C.R. Srinivas, Reena Rai and M. Sinha). 17 Flip-top Pigment Transplantation. (Brent E. Pennington, Jean L. Bolognia and David J. Leffell). 18 Ultrasonic Abrasion and Seed Grafts for Vitiligo. (Katsuhiko Tsukamoto, Reiko Kitamura and Osami Takayama). 19 Complications and Limitations of Melanocyte Transplantation. (Yvon Gauthier). Section 4 Cellular Grafting. 20 Treatment of Leukoderma by Transplantation of Basal Cell Layer Suspension. (Mats J. Olsson). 21 Setting up a Tissue Culture Laboratory. (Rafal Czajkowski, Tomasz Drewa and Waldemar Placek). 22 Treatment of Leukoderma by Transplantation of Cultured Autologous. Melanocytes (Mats J. Olsson). 23 Transplantation of in Vitro Cultured Epithelial Grafts for Vitiligo and Piebaldism. (Liliana Guerra, Sergio Bondanza and Desanka Raskovic). 24 Simplifying the Delivery of Cultured Melanocytes and Keratinocytes for Grafting Patients with Vitiligo. (Sheila MacNeil and Paula Eves). 25 Safety Concerns in Transplantation of in Vitro Cultured Cellular Grafts. (Liliana Guerra, Elena Dellambra and Patrizia Paterna). Section 5 Special Issues. 26 Post-surgery Patient Information. (Mats J. Olsson). 27 Surgical Management of Lip Vitiligo. (Somesh Gupta, Ashima Goel and Amrinder J. Kanwar). 28 Surgical Management of Vitiligo of Eyelids and Genitals: Special Issues. (Somesh Gupta). 29 Surgical Management of Acral vitiligo. (Sharad Mutalik). 30 Surgical Management of Leukotrichia. (Karoon Agrawal and Aparna Agrawal). 31 Surgical Treatments of Leukodermas other than Vitiligo Vulgaris. (Mats J. Olsson). Section 6 Miscellaneous. 32 Micropigmentation. (Gurvinder P. Thami). 33 Laser for Repigmenting Vitiligo. (Thierry Passeron and Jean-Paul Ortonne). 34 Application of Lasers in Transplantation Procedures for Vitiligo. (Cengiz Acikel, Ersin Ulkur and Bahattin Celikoz). 35 Combining Medical and Surgical Therapies. (Alain Taieb and Yvon Gauthier). 36 Surgical Depigmentation of Vitiligo: Bleaching Cream, Laser and Cryosurgery. (Monique R.T.M. Thissen). 37 Future directions in Surgical Management of Vitiligo. (Yvon Gauthier). 38 Informed Consent. (Mats J. Olsson)