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Results for “Dermatologic Surgical Procedures”

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At least 163 records · Page 9Linked to original sources
PubMed1995

Postoperative wound infection rates in dermatologic surgery.

BACKGROUND: Multiple factors related to the nature of the surgical procedure can influence the risk of wound infection in dermatologic surgery. Despite that, wound infection rates in dermatologic surgical procedures are believed to be low. OBJECTIVE: This study was conducted: 1) to determine wound infection rates in Mohs and excisional surgery; and 2) to investigate if factors such as lesion type, anatomic location, postoperative defect size, number of Mohs stages required to achieve a tumor-free plane, and the type of reconstructive procedure influence the rate of surgical wound infections. RESULTS: Wound infection rate for 530 Mohs procedures and 517 excisions combined was 2.29%, falling within the predicted range for "clean" surgical procedures. In addition, Mohs procedures performed on the ear as well as large postoperative defects were found to have a higher rate of wound infections. CONCLUSION: Dermatologic surgery can be safely performed in an outpatient setting without a significant risk of infection. Certain anatomic sites, such as the ear, as well as size of postoperative defect, are important factors in predicting the risk of postoperative wound infection.

Boston↗
PubMed1986

Approaches to the ankle region.

This article has attempted to address the surgical realm of the ankle region. With the advent of more interest in treating patients who require atraumatic and corrective surgical procedures of the ankle region, it is mandatory for us to become better trained and to improve our skills and expertise. The points worth summarizing in the surgical approach to the ankle region are a complete anatomic knowledge, basic principles of lines of tension, thorough understanding of biomechanics, and good preoperative judgment. The atraumatic approach was presented by describing how to accomplish this objective--by protecting neurovascular bundles, by following normal skin lines or creases, by avoiding scars over a bony prominence, and by avoiding incisions on a weight-bearing surface. Certain basic anatomic and physiologic principles were stated, such as making incisions large enough, using tourniquets when possible, avoiding excessive and unnecessary dissection, and avoiding stretching, crushing, or allowing tissue to dry. Various approaches for surgical procedures to the ankle region were given. The approaches described the location of the incision, the anatomy to be seen while deepening the wound, and the reason for the surgical procedure.

Ankle↗
PubMed1986

The forehead lift: refinements in surgical technique.

The forehead lift has recently received increased interest as a most rewarding procedure in aging face surgery. Following its introduction, many surgical techniques to achieve the desired result have been developed. This paper presents the surgical anatomy of the procedure, and its indications and contraindications. The surgical technique as developed over more than 100 cases is described, including peri-operative care and operative surgical precautions. The advantages and disadvantages of this procedure, including complications, are outlined.

Dermatologic Surgical Procedures↗
PubMed2006

Subdermal liposuction: long-term experience.

This article discusses the technique of subdermal liposuction treating superficial subdermal fat. Advantages include the treatment of small adiposities, removal to favor skin accommodation, improvement of the cullulitic aspect of skin, and more progressive suction with better control of the evolution of the procedure.

Dermatologic Surgical Procedures↗
PubMed2005

Osteopathic medicine and the practice of dermatology: history and current status. An overview of the American Osteopathic College of Dermatology, an affiliate specialty college of the American Osteopathic Association.

As the unified training body for osteopathic physicians specializing in dermatology, the American Osteopathic College of Dermatology (AOCD) sponsors 18 dermatology residency programs that integrate academic training (focusing on the core of basic medical sciences) with clinical instruction (emphasizing specialized diagnostic and laboratory techniques and the high-level performance of all dermatologic and surgical procedures) to engender the ability to provide superior, specialized dermatologic care. The board of directors of the American Academy of Dermatology (AAD) recommended passage of a bylaws amendment establishing a category of osteopathic fellow for those osteopathic physicians who are certified by the American Osteopathic Board of Dermatology; however, the AAD membership failed to adopt the amendment by the required two-thirds majority. Constitutional bylaws of both societies stress the importance of the goal of unification and representation of the specialty of dermatology. Continued rapprochement appears to be in the best interest of the AAD and AOCD and may well enhance our efforts to deal with the challenges that face dermatology and medical practice in the 21st century.

Curriculum↗
PubMed2005

[Aging of skin and hair].

Anti-aging medicine is dedicated to the advancement of technology to detect, prevent, and treat aging related disease and to promote research into methods to retard and optimize the aging process. Dermatology offers good basics for rational preventive and therapeutic anti-aging strategies. The role of the skin in anti-aging medicine is not merely that aging is most obvious on the skin, but that the skin is a highly accessible and unique organ that offers unequaled opportunities to the gerontologist for the study of age-related effects. The study of skin aging focuses on two main streams of interest: On one hand, the esthetic problem and its management; on the other, the biological problem of aging in terms of microscopic, biochemical, and molecular changes. Probably the same molecular mechanisms underlying the aging of skin and its appendages, including the pigmentary system, underlie age-dependent degenerative changes of the inner organs and entire organism. The skin and hair are subject to intrinsic or physiologic aging, and extrinsic or premature aging due to external factors. Intrinsic factors are related to individual genetic and epigenetic mechanisms with interindividual variation. Extrinsic factors include ultraviolet radiation and cigarette smoking. Primary prevention encompasses measures that are taken before the aging process has started, secondary prevention when the first signs of aging have come into sight. Eventually, tertiary measures are aimed at correcting established signs of aging. Prevention starts with photoprotection and avoidance of cigarette smoking. In dermatologic practice sun protecting agents, dermocosmetic substances, hair growth promoting agents, and anti-aging compounds play an ever increasing role. Finally, tertiary anti-aging measures include minimally invasive cosmetic procedures such as chemical peels, microdermabrasion, soft tissue fillers, non-ablative laser rejuvenation, radiofrequency techniques and botulinum toxin, as well as laser skin resurfacing and corrective surgical procedures, including autologous hair transplantation.

Aged↗
PubMed1994

Skin simulation for minor surgical procedures.

A simulated skin preparation is described which is made by bonding siliconized rubber to a latex foam base. This composite material, which simulates both the dermis/epidermis and subcutaneous fat, provides a realistic model which can be used to teach excision of skin lesions and a variety of suturing methods. We believe that this simulator is of value not only for surgeons in-training but also will allow general practitioners to improve their technical skills in performing minor surgical procedures.

Dermatologic Surgical Procedures↗
PubMed2005

Laser treatment of photodamaged skin.

The market for skin rejuvenation has grown vastly during the last decade. Many new laser technologies are now available to the practitioner for the treatment of sundamage. Ablative laser techniques, while currently less popular because of associated protracted healing times and greater risk of scarring and pigmentary change, remain the gold standard in the treatment of severe sundamage, rhytides, and dermatoheliosis. Newer nonablative techniques have increased in popularity and are an effective method of skin rejuvenation for mild to moderate sundamage; however, they are of limited benefit in the treatment of more severe sundamage. New fractional photothermolysis laser technology is a promising method of rejuvenation that combines much of the efficacy of the ablative procedures with the convenience and safety of the nonablative laser procedures.

Cosmetic Techniques↗
PubMed1982

Avoiding infection in office surgery.

Office instruments should be steam autoclaved. This has the advantage of greatest effectiveness and reliability with reasonable cost and time. The iodophors and chlorhexidine are excellent surgical skin preparations. Chlorhexidine suppresses regrowth of bacteria much better than iodophors. Antibiotic prophylaxis may be beneficial for clean-contaminated and contaminated wounds. The antibiotic should be administered before surgery and continued no longer than 24 hours after surgery.

Ambulatory Surgical Procedures↗
PubMed1975

A method of bloodless circumcision.

A method of circumcision is described which allows accurate removal of the correct amount of tissue. The method is based on the concept of removal of a flat strp of skin rather than a fold. The removal of the correct amount of tissue with the minimal amount of bleeding and minimal risk to the frenal vessels is effected. The treatment after operation is simple and the results are invariably satisfactory. Damage to the urethra and glans is virtually impossible. Delineation of the incisions with ink before beginning is an important step in the procedure.

Circumcision, Male↗
PubMed2001

Surgical practice pearls.

Dermatologic surgery can be enjoyable and rewarding, particularly if one constantly seeks ways to improve service and efficiency. Although new technology provides opportunities to expand and improve one's skills, the importance of courtesy, common sense, and creativity should not be overlooked as tools to perfect one's practice.

Ambulatory Surgical Procedures↗
PubMedDate not supplied

Coblation: a new technology and technique for skin resurfacing and other aesthetic surgical procedures.

After years performing CO2 laser skin resurfacing, I started testing a new technology based on the modification of a bipolar electrosurgical unit in 1998. This technology called Coblation works by a radiofrequency mechanism and from the beginning it showed many advantages over lasers. My histologic and clinical preliminary results have already been published, but now, with a larger group and a 2-year follow-up, I can state that this new device is very effective and safe for skin resurfacing. The device works at low temperatures, avoiding the great thermal injury of a CO2 laser, but is able to cause some damage in the superficial dermis. The working temperature is high enough to cause shrinkage of collagen and the dermal damage promotes the deposition of new collagen during the postoperative months. During surgery, Coblation can act as an electrosurgical unit and can coagulate the small vessels, achieving a bloodless surgical field. The clinical results show good, long-term results with a short and comfortable recovery period and minimal complications. I combined this resurfacing with face lifts without any special problems. The new cutting-coagulating terminals allow this new technology to be used in other surgical procedures, like transconjunctival blepharoplasties. The Coblation transconjunctival blepharoplasty, combined with Coblation resurfacing, seems to be very effective, with fast healing, due to the low temperatures used during the procedure, and a good aesthetic result. The device is small, light, and it is safer than a laser since it doesn't need any safety measures, such as goggles. After two years and more than 80 patients, I can state that Coblation is a very good alternative to laser skin resurfacing and that it will be used for many other aesthetic surgery procedures in the future.

Dermatologic Surgical Procedures↗