2,415 results match your criteria Dermatologic Surgical Complications


Fallen dogmas - recent advances in locoregionally advanced melanoma.

Pol Arch Intern Med 2021 Apr 14. Epub 2021 Apr 14.

Last decade brought new achievements in the melanoma research, which resulted in an important changes in the clinical management of stage III melanoma. The article summarizes recent updates with particular focus on practical aspects. Results from surgical studies, Multicenter Selective Lymphadenectomy Trial II (MSLT-II) and German Dermatologic Cooperative Oncology Group (DeCOG-SLT) proved that surgical dogmatic approach that all sentinel node melanoma metastasis warrants completion lymphadenectomy is no longer valid; omission of completion lymphadenectomy in large proportion of sentinel node positive melanoma patients has no negative impact on survival rates. Read More

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Baseline incision characteristics and early scar maturation indices following cardiac device implantation.

J Arrhythm 2021 Apr 19;37(2):400-406. Epub 2021 Jan 19.

Division of Cardiovascular Medicine University of Virginia Health System Charlottesville VA USA.

Aims: Dermatologic evaluation for cardiac implantable electronic devices (CIEDs) has not been established. We sought to ascertain baseline wound scar features using quantifiable surgical tools and scar scales on post-CIED patients.

Methods: A single-center, prospective observational case-control study was performed where 92 study subjects (40 healthy volunteers and 52 post-CIED patients) completed the study. Read More

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Mohs micrographic surgery: a review of indications, technique, outcomes, and considerations.

An Bras Dermatol 2021 Mar 24. Epub 2021 Mar 24.

Epiphany Dermatology, Dallas, TX, United States.

Mohs micrographic surgery is a specialized form of skin cancer surgery that has the highest cure rates for several cutaneous malignancies. Certain skin cancers can have small extensions or "roots" that may be missed if an excised tumor is serially cross-sectioned in a "bread-loaf" fashion, commonly performed on excision specimens. The method of Mohs micrographic surgery is unique in that the dermatologist (Mohs surgeon) acts as both surgeon and pathologist, from the preoperative considerations until the reconstruction. Read More

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Benefits, safety and side effects of tumescent local anesthesia in dermatologic surgery in infants.

J Dtsch Dermatol Ges 2021 03 12;19(3):352-357. Epub 2021 Feb 12.

Department of Dermatology, University Hospital Tübingen, Germany.

Tumescent local anesthesia (TLA) plays an important role in dermatosurgical procedures. TLA has several benefits such as long-lasting anesthesia, reduced bleeding during surgery and the avoidance of general anesthesia-associated complications. Convenience and a favorable risk profile along with a broad spectrum of indications are further reasons why TLA is increasingly applied in infants as well. Read More

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A Systematic Review Supporting the American Society for Dermatologic Surgery Guidelines on the Prevention and Treatment of Adverse Events of Injectable Fillers.

Dermatol Surg 2021 02;47(2):227-234

Evidence-Based Practice Research Program, Mayo Clinic, Rochester, Minnesota.

Background: As the use of injectable skin fillers increase in popularity, an increase in the reported adverse events is expected.

Objective: This systematic review supports the development of American Society for Dermatologic Surgery practice guideline on the management of adverse events of skin fillers.

Methods And Materials: Several databases for studies on risk factors or treatments of injection-related visual compromise (IRVC), skin necrosis, inflammatory events, and nodules were searched. Read More

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February 2021

Reconstruction of Perioral Defects After Mohs Micrographic Surgery or Excision: A Systematic Review of the Literature.

Dermatol Surg 2021 02;47(2):162-166

Department of Dermatology, University of Minnesota, Minneapolis, Minnesota.

Background: Although many repair methods for postsurgical lip defects have been described, the literature lacks a comprehensive review of these methods.

Objective: To perform a systematic review of lip defect repair methods after Mohs surgery or excisions.

Materials And Methods: Terms related to perioral anatomy, Mohs surgery and excision, and reconstruction were used to search 8 databases. Read More

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February 2021

Preventing complications in dermatologic surgery: Presurgical concerns.

J Am Acad Dermatol 2021 Apr 23;84(4):883-892. Epub 2021 Jan 23.

Department of Dermatology, New York University Langone Health, New York, New York.

Cutaneous surgery has become critical to comprehensive dermatologic care, and dermatologists must therefore be equipped to manage the risks associated with surgical procedures. Complications may occur at any point along the continuum of care, and therefore assessing, managing, and preventing risk from beginning to end becomes essential. This review focuses on preventing surgical complications pre- and postoperatively as well as during the surgical procedure. Read More

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Preventing and managing complications in dermatologic surgery: Procedural and postsurgical concerns.

J Am Acad Dermatol 2021 Apr 23;84(4):895-903. Epub 2021 Jan 23.

Department of Dermatology, New York University Langone Health, New York, New York.

The second article in this continuing medical education series reviews the evidence regarding the intraoperative and postoperative risks for patients and health care workers. We share the most up-to-date recommendations for risk management and postoperative complication management to ensure optimal surgical efficacy and patient safety. Read More

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A case of streptococcal surgical site infection following Mohs surgery.

Dermatol Reports 2020 Sep 22;12(2):8819. Epub 2020 Oct 22.

Department of Dermatology, Baylor College of Medicine, 1 Baylor Plaza, Houston, TX, USA.

Group A β-hemolytic Streptococcal (GAS) cellulitis is an uncommon surgical site infection that presents with rapid onset of pain and swelling in the first few days after a procedure. Unlike staphylococcal cellulitis, GAS cellulitis lacks purulence and spreading erythema. The absence of these classic signs may delay the diagnosis of GAS cellulitis and lead to severe complications. Read More

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September 2020

A Novel Absorbable Stapler Provides Patient-Reported Outcomes and Cost-Effectiveness Noninferior to Subcuticular Skin Closure: A Prospective, Single-Blind, Randomized Clinical Trial.

Plast Reconstr Surg 2020 12;146(6):777e-789e

From the Departments of Ear, Nose, and Throat Surgery, Burn Plastic Surgery, Gynaecology and Obstetrics, Plastic Surgery, and Research and Innovation and the Methodology and Biostatistics Unit, Nantes University Hospital; the Clinical Research Department, District Hospital Center; EA 4275 Biostatistics, Pharmacoepidemiology and Human Sciences Research Unit, and SPHERE, UMR INSERM U1246, Faculty of Medicine, University of Nantes; and the French School of Public Health.

Background: Deep dermal suturing is critical for scar quality outcomes. The authors evaluated a new, fast medical device for dermal suturing, with the hypothesis of noninferiority with regard to clinical scar and cost-effectiveness.

Methods: A prospective, patient-blind, randomized, multicenter noninferiority study in 26 French hospitals was conducted. Read More

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December 2020

Dermatologic sequelae of breast cancer: From disease, surgery, and radiation.

Int J Dermatol 2021 Apr 23;60(4):394-406. Epub 2020 Nov 23.

The Ronald O. Perelman Department of Dermatology, New York University Grossman School of Medicine, New York, NY, USA.

The care of breast cancer patients is important to dermatologists. Breast cancer's initial presentation, clinical progression, and its associated treatments can result in a variety of cutaneous complications. Dermatologists may be the first to identify a breast cancer diagnosis, as a subset of patients first present with direct extension of an underlying tumor or with a cutaneous metastasis. Read More

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Sweet's syndrome associated with hematological malignancies.

Leuk Res 2020 12 16;99:106461. Epub 2020 Oct 16.

Moffitt Cancer Center and Research Institute, 12902 USF Magnolia Dr Tampa, FL, 33612, United States. Electronic address:

Background: Sweet's syndrome, or acute febrile neutrophilic dermatosis, is often mistaken for a skin infection given its similar clinical presentation.

Objective: To describe the clinical presentations and management of a rare dermatologic condition associated with hematological malignancies.

Methods: Case series; Chart review of patients at Moffitt Cancer Center between 2017 and 2020. Read More

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December 2020

The effect of antibiotic prophylaxis on infection rates in mohs micrographic surgery: a single-institution retrospective study.

Arch Dermatol Res 2020 Oct 24. Epub 2020 Oct 24.

Department of Dermatology, University of Texas Southwestern Medical Center, 5939 Harry Hines Blvd, 4th Floor, Suite 100, Dallas, 75390, USA.

As data and recommendations regarding antibiotic prophylaxis in dermatologic surgery vary, we tried to describe the effect of antibiotic prophylaxis (AP) in Mohs micrographic surgery (MMS) on infective endocarditis, prosthetic joint infection, and surgical site infection using a single-institution retrospective cohort study of antibiotic use (pre-/intra-operative, post-operative or none) among 2,364 patient encouters treated with MMS. Bivariate logistic regression was evaluated for associations between patient and operative characteristics, antibiotic use, and infectious complications. 85. Read More

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October 2020

COVID-19 infection and dermatologic surgery: management in a dermo-oncology center in a high-risk pandemic area.

G Ital Dermatol Venereol 2020 Oct 21;155(5):684-685. Epub 2020 Oct 21.

Department of Medical Sciences, Clinic of Dermatology, University of Turin, Turin, Italy.

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October 2020

The kite flap for reconstructing tumour excision wounds in the middle and lower face: a retrospective study.

J Wound Care 2020 Oct;29(10):562-566

Department of Plastic and Reconstructive Surgery, Shanghai Ninth People's Hospital Affiliated to Shanghai Jiao Tong University, Shanghai, China.

Objective: The aim of this study was to present our experience with a kite flap in reconstruction of facial wounds after malignant tumour excision.

Method: From October 2008 to September 2017, patients with facial malignant tumour were treated in the Xinjiang Uygur Autonomous Region Bazhou People's Hospital with kite flaps after complete excision. The survival rate, colour, cicatrix of the flap and patient satisfaction were recorded after surgery. Read More

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October 2020

Papuloerythroderma of Ofuji.

JAMA Dermatol 2020 12;156(12):1365

Department of Dermatology, National Clinical Research Center for Dermatologic and Immunologic Diseases, Translational Medicine Center, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China.

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December 2020

Anatomic Danger Zones of the Head and Neck.

Dermatol Surg 2020 12;46(12):1549-1559

William W. Bruce, MD, Distinguished Chair, Department of Dermatology, University of Nebraska Medical Center, Omaha, Nebraska.

Background: Dermatologic procedures require a detailed understanding of surface anatomy to avoid complications. The head and neck region has prominent danger zones including nerves and vasculature that may be at risk during cutaneous surgery. A thorough understanding of these danger zones can help avoid complications that may lead to functional or cosmetic impairment. Read More

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December 2020

A 47-Year-Old Hispanic Man Who Developed Cutaneous Vasculitic Lesions and Gangrene of the Toes Following Admission to Hospital with COVID-19 Pneumonia.

Am J Case Rep 2020 Oct 1;21:e926886. Epub 2020 Oct 1.

Department of Internal Medicine, Long Island Community Hospital, Patchogue, NY, USA.

BACKGROUND Coronavirus disease 2019 (COVID-19) is caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), which originated in Wuhan, China, in late 2019 and has led to an ongoing pandemic. COVID-19 typically affects the respiratory tract and mucous membranes, leading to pathological involvement of various organ systems. Although patients usually present with fever, cough, and fatigue, less common manifestations have been reported including symptoms arising from thrombosis and thromboembolism. Read More

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October 2020

Chlorhexidine Hypersensitivity: A Case Report of Delayed Reactions Associated with Epidermal Preparations.

Plast Reconstr Surg Glob Open 2020 Aug 14;8(8):e2945. Epub 2020 Aug 14.

Department of Plastic and Reconstructive Surgery, MedStar Georgetown University Hospital, Washington, D.C.

Chlorhexidine is a topical antiseptic that is generally well tolerated in patients, making it a common preparatory substance in various surgical settings. Sparse case reports have identified immediate hypersensitivity reactions after exposure to this substance, especially in patients with a history of atopy. The purpose of this case report is to describe 3 unique presentations of delayed hypersensitivity to epidermal chlorhexidine preparation. Read More

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TMPRSS2, a SARS-CoV-2 internalization protease is downregulated in head and neck cancer patients.

J Exp Clin Cancer Res 2020 Sep 23;39(1):200. Epub 2020 Sep 23.

UOSD Clinical Trial Center, Biostatistics and Bioinformatics, IRCCS Regina Elena National Cancer Institute, Rome, Italy.

Background: SARS-coronavirus-2 enters host cells through binding of the Spike protein to ACE2 receptor and subsequent S priming by the TMPRSS2 protease. We aim to assess differences in both ACE2 and TMPRSS2 expression in normal tissues from oral cavity, pharynx, larynx and lung tissues as well as neoplastic tissues from the same areas.

Methods: The study has been conducted using the TCGA and the Regina Elena Institute databases and validated by experimental model in HNSCC cells. Read More

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September 2020

Island Flap for Upper-Lip Reconstruction: Analysis of Key Aspects and a Case Series.

Actas Dermosifiliogr 2021 Feb 12;112(2):171-175. Epub 2020 Sep 12.

Departamento de Dermatología, Clínica Universidad de Navarra, Pamplona y Madrid, España.

Upper-lip reconstruction after Mohs micrographic surgery is challenging for dermatologic surgeons. We describe a series of 15 patients (7 men and 8 women; mean age, 65.6 years) with skin cancer on the upper lip treated with Mohs surgery: 10 were basal cell carcinomas, 2 were melanomas, and 3 were squamous cell carcinomas. Read More

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February 2021

Histopathological findings in COVID-19-induced cutaneous lesions. Clinicopathological correlation of SARS-CoV-19 dermatologic patterns: review of the literature.

Australas J Dermatol 2021 Feb 13;62(1):e98-e101. Epub 2020 Sep 13.

Department of Dermatology, Hospital General Universitario Gregorio Marañón, Universidad Complutense de Madrid, Madrid, Spain.

An increasing number of publications have brought attention to COVID-19-associated cutaneous lesions. Histopathological descriptions and clinical correlation of the histopathological findings of COVID-19 skin lesions are lacking. In this manuscript, we reviewed and described the histopathological characteristics of COVID-19 infection cutaneous patterns reported in the literature. Read More

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February 2021

Cutaneous manifestations of viral outbreaks.

Australas J Dermatol 2021 Feb 8;62(1):27-36. Epub 2020 Sep 8.

Department of Dermatology, Gauhati Medical College & Hospital, Guwahati, India.

As the world tries to grapple with the COVID-19 pandemic, dermatologists are left in a lurch as there is a lacuna in dermatologic literature as well as training regarding the cutaneous manifestations of varied viral agents capable of causing epidemics/pandemics or the potential to be bio-weaponised. Such outbreaks have the potential to become a pandemic given this age of globalisation. The quote by George Santayana stands true 'Those who cannot remember the past are condemned to repeat it'. Read More

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February 2021

Dermatofibrosarcoma Protuberans: A Clinicopathologic and Therapeutic Analysis of 254 Cases at a Single Institution.

Dermatol Surg 2021 02;47(2):e26-e30

Departments of Orthopedics, and.

Background: Dermatofibrosarcoma protuberans (DFSP) is a rare low-grade tumor that typically does not metastasize but often recurs. Fibrosarcomatous DFSP (FS-DFSP) is associated with a substantially higher rate of metastasis and a poorer prognosis.

Objective: This study sought to investigate the epidemiological, histopathological, and clinical characteristics of DFSP, especially with a particular focus on FS-DFSP. Read More

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February 2021

Periocular Mohs Reconstruction by Lateral Canthotomy With Inferior Cantholysis: A Retrospective Study.

Dermatol Surg 2020 Jul 31. Epub 2020 Jul 31.

*Department of Dermatology, University of Minnesota, Minneapolis, Minnesota; †Department of Dermatology, Saint Louis University, St. Louis, Missouri.

Background: Most eyelid defects after Mohs micrographic surgery are referred to oculoplastic surgery or plastic surgery for reconstruction, but growing evidence suggests the safety of such repairs performed by dermatologic surgeons is equivalent if not better. Lateral canthotomy with inferior cantholysis may be used by the dermatologic surgeon to reconstruct larger lower eyelid defects.

Objective: To demonstrate lateral canthotomy with inferior cantholysis performed by the dermatologic surgeon can result in safe, functionally and cosmetically acceptable surgical outcomes. Read More

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Atypical Spindle Cell Lipomatous Lesion Resected From Patient With History of CLL.

Am Surg 2020 Sep 19;86(9):1208-1211. Epub 2020 Jun 19.

1421 Department of Surgical Oncology, Medical College of Georgia at Augusta University, GA, USA.

Atypical spindle cell lipomatous neoplasm, also known as well-differentiated spindle cell liposarcoma, represents a newly discovered entity of adipocytic tumors. Recent research has shown this tumor variant to be more related to spindle cell lipoma, rather than the originally hypothesized atypical lipomatous tumor spectrum. Here we present a case of a 58-year-old man with a history of chronic lymphocytic leukemia with an enlarging mass on the posterior left shoulder, initially hypothesized to be a benign lipoma. Read More

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September 2020

Fasciotomy through multiple small skin incisions for the treatment of early acute osteofascial compartment syndrome in children.

J Orthop Surg Res 2020 Jul 17;15(1):269. Epub 2020 Jul 17.

Department of Orthopaedics, Children's Hospital of Chongqing Medical University, Ministry of Education Key Laboratory of Child Development and Disorders, Chongqing Engineering Research Center of Stem Cell Therapy, China International Science and Technology Cooperation base of Child Development and Critical disorders, 136# Zhongshan 2 road, Yuzhong District, Chongqing, 400014, People's Republic of China.

Background: The purpose of the present study is to investigate the therapeutic effect of fasciotomy through multiple small skin incisions for the treatment of early osteofascial compartment syndrome in children.

Methods: From January 2009 to May 2017, 56 pediatric patients with early osteofascial compartment syndrome in their limbs were admitted into our department and treated with multiple small skin incisions for decompression at the early stage. The skin incisions, function, and sensation of the limbs were followed up. Read More

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Antibiotic-Impregnated Intramedullary Cement Nail-Induced Acute Generalized Exanthematous Pustulosis and Septic Shock: A Case Report.

JBJS Case Connect 2020 Apr-Jun;10(2):e0441

1Department of Orthopedic Surgery, University of California-San Diego, San Diego, California.

Case: A 28-year-old woman with an infected proximal femur nonunion was treated with an antibiotic-coated intramedullary nail. Shortly after discharge, the patient presented to the emergency department and was readmitted with a morbilliform rash sparing the left lower extremity. She became hemodynamically unstable, despite cessation of intravenous antibiotics, requiring transfer to the intensive care unit and urgent removal of her antibiotic nail. Read More

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February 2021