Most textbooks on dermatologic surgery acknowledgethat postoperative complications exist and some describe briefly methods of prevention or options for their further management. Dermatologic surgical procedures performed in outpatient settings are generally low risk procedures.
Pdf Risk Assessment And Prevention Of Complications In
Nineteen unique cases are presented and the clinical management of each case discussed.
Read & Download Complications Of Dermatologic Surgery Prevention And Treatment. In general the rate of complications in dermatologic surgery is extremely low. Each of these will be discussed below. There are measures that surgeons can take either to prevent these complications or recognize and treat them early to prevent more serious consequences.
Dermatologic surgery complications most often include pain bleeding and infection. Of course the majority of complications can be prevented by careful preoperative preparation meticulous surgical technique and proper postoperative care but when they do occur they can be recognized and managed with skill and competence. Indication for treatment device used treatment para meters table 1 complications that occurred their man agementfinaloutcomesandabriefdiscussionofthecause of the complication and potential methods of prevention.
A single center prospective analysis of 1343 cases of mohs micrographic surgery mms reported an overall complication rate of 16 221343 cases including wound infection postoperative hemorrhage hematoma wound dehiscence and flap or graft necrosis cook jl perone jb. Bleeding is one of the most common complications in dermatologic surgery. The increased scope and complexity of dermatologic surgery has led to a needfor greater skill and knowledge on the prevention and treatment of the associated complications.
The scope of dermatologic surgery is so wide that inevitably a large number and variety of complications arise. Continuous treatment with blood thinners perioperatively in patients undergoing mohs and cutaneous surgery is not associated with an increase in surgical complications. However it is alarming to the patient and threatens the integrity of the surgical repair.
Perioperative and postoperative complications in dermatologic surgery are infrequent with an overall rate of 2 to 6 percent and in most cases minor. Bleeding from the smaller caliber vessels encountered in cutaneous surgery is unlikely to pose a life threatening immediate risk. Four of the most common complications in dermatologic surgery include hemorrhage infection dehiscence and necrosis of the skin.
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