2,529 results match your criteria Dermatologic Surgical Complications


Case report of metastatic melanoma presenting as an unusual cause of gastrointestinal hemorrhage in an elderly gentleman.

Ann Med Surg (Lond) 2022 Jun 4;78:103920. Epub 2022 Jun 4.

Department of Internal Medicine. Grand Strand Medical Center, Myrtle Beach, SC, 29572, USA.

Introduction: and Importance: Melanomas are capable of metastasizing to both regional and distant sites and are notably known to metastasize to the skin, lungs, brain, liver, bone, and gastrointestinal tract. Metastatic melanoma is infrequently diagnosed , and usually found only on evaluation at autopsy.

Case Presentation: Here we present the case of a 64-year-old male who originally presented with melena, fatigue, exertional dyspnea and one episode of near-syncope. Read More

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Second-Intention Healing in Mohs Micrographic Surgery: A Single-Center Academic Experience.

Adv Skin Wound Care 2022 Jul;35(7):375-380

Julián Barrera-Llaurador, MD, is Dermatology Assistant Professor, Department of Dermatology, University of Puerto Rico School of Medicine, San Juan. Osward Y. Carrasquillo, MD, MPH, is Mohs Micrographic Surgery Fellow, Department of Dermatology, University of North Carolina, Chapel Hill. Marely Santiago-Vázquez, MD, is Dermatology Resident, Department of Dermatology, University of Puerto Rico School of Medicine. Valeria J. González-Molina, MD, is Clinical Fellow, Department of Dermatology, HCA Corpus Christi Medical Center-Bay Area, Texas. Sheila M. Valentín-Nogueras, MD, is Mohs Micrographic Surgeon, Director of Dermatologic Surgery, Department of Dermatology, University of Puerto Rico School of Medicine. The authors have disclosed no financial relationships related to this article. Submitted August 18, 2021; accepted in revised form January 10, 2022.

Objective: To describe the trends in second-intention healing (SIH) use at a single Mohs micrographic surgery (MMS) dermatology clinic and assess outcomes and patient satisfaction.

Methods: The authors conducted a single-center, retrospective study of patients who underwent MMS from November 2012 through November 2018. Data obtained for each patient included sex, age, tumor characteristics, number of MMS stages, final defect size, and postoperative complications. Read More

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What to do in Cases of Error Involving Professional Responsibility to Prevent Administrative or Legal Complications: A Checklist for Dermatologic Surgery.

Actas Dermosifiliogr 2022 04 24;113(4):343-346. Epub 2021 Sep 24.

Servicio de Dermatología, Clínica Dermalar, Santiago de Compostela, España.

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Pregnancy outcomes in Takayasu arteritis patients.

Semin Arthritis Rheum 2022 Apr 28;55:152016. Epub 2022 Apr 28.

Department of Rheumatology and Clinical Immunology, Chinese Academy of Medical Sciences & Peking Union Medical College, National Clinical Research Center for Dermatologic and Immunologic Diseases (NCRC-DID), Ministry of Science & Technology, State Key Laboratory of Complex Severe and Rare Diseases, Peking Union Medical College Hospital (PUMCH), Key Laboratory of Rheumatology and Clinical Immunology, Ministry of Education, Beijing, China. Electronic address:

Objectives: To investigate the pregnancy outcomes of patients with Takayasu arteritis (TAK) and identify the relevant risk factors.

Methods: A total of 110 pregnancies in 80 patients in a Chinese TAK cohort and 550 matched pregnancies in healthy women between 2000 and 2020 were included. The pregnancy outcomes between patients and controls were compared by Fisher's exact test. Read More

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Pilar Cysts of the Head and Neck: A Case Report.

Cureus 2022 Apr 7;14(4):e23932. Epub 2022 Apr 7.

General Surgery, West Suburban Medical Center, Oak Park, USA.

Pilar cysts, a subtype of sebaceous cysts, are benign masses often commonly found on the scalp, back, and face. They are common amongst women and carry a low potential for malignancy. These lesions arise due to the buildup of keratin in the skin pore, blocking the exit port of sebaceous gland secretions. Read More

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Safety in Dermatologic Procedures: Ophthalmologic Complications.

Actas Dermosifiliogr 2022 May 2. Epub 2022 May 2.

Servicio de Oftalmología, Hospital Universitario Virgen del Rocío, Sevilla, España.

Ophthalmological complications are uncommon in dermatologic surgery. Nonetheless, all surgeons should know the basics of recognizing, preventing, and treating the 4 complications addressed in this article from the series 'Safety in Dermatologic Procedures'. The first complication that surgeons should be familiar with is eye damage due to chemical irritants. Read More

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Preoperative 3D Reconstruction Model in Slow Mohs Surgery for Dermatofibrosarcoma Protuberans.

Comput Intell Neurosci 2022 7;2022:5509129. Epub 2022 Apr 7.

Department of Plastic and Reconstructive Surgery, Shanghai Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine, Center for Specialty Strategy Research of Shanghai Jiao Tong University China Hospital Development Institute, Shanghai, China.

Dermatofibrosarcoma protuberans (DFSP) is a type of skin cancer that is extremely rare. Its standard treatment is either surgical wide-local excision (WLE) or Mohs micrographic surgery (MMS). Which method has the lowest recurrence rate is unknown. Read More

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Percutaneous Pulmonary Angioplasty for Patients With Takayasu Arteritis and Pulmonary Hypertension.

J Am Coll Cardiol 2022 04;79(15):1477-1488

Department of Cardiology, State Key Laboratory of Complex Severe and Rare Diseases, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China. Electronic address:

Background: Percutaneous transluminal pulmonary angioplasty (PTPA) is a treatment modality for chronic thromboembolic pulmonary hypertension, but whether it can be applied to Takayasu arteritis-associated pulmonary hypertension (TA-PH), another chronic obstructive pulmonary vascular disease, remains unclear.

Objectives: This study sought to investigate the efficacy and safety of PTPA for TA-PH.

Methods: Between January 1, 2016, and December 31, 2019, a total of 50 patients with TA-PH who completed the PTPA procedure (the PTPA group) and 21 patients who refused the PTPA procedure (the non-PTPA group) were prospectively enrolled in this cohort study. Read More

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Psoriasis and Post-Surgical Infections in Primary Total Knee Arthroplasty: An Analysis of 10,727 Patients.

J Arthroplasty 2022 Mar 18. Epub 2022 Mar 18.

Department of Orthopaedic Surgery, Lenox Hill Hospital, New York, New York; Rubin Institute of Advanced Orthopedics, Sinai Hospital of Baltimore, Baltimore, Maryland.

Background: Psoriasis is a dermatologic condition characterized by erythematous plaques that may increase wound complications and deep infections following total knee arthroplasty (TKA). There is a paucity of evidence concerning the association of this disease and complications after TKA. This study aimed to determine if patients who have psoriasis vs non-psoriatic patients have differences in demographics and various comorbidities as well as post-operative infections, specifically the following: (1) wound complications; (2) cellulitic episodes; and (3) deep surgical site infections (SSIs). Read More

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Hidradenitis Suppurativa: A Comparison of Institutional Experience and the Tracking Operations and Outcomes for Plastic Surgeons Registry.

Plast Reconstr Surg 2022 05 18;149(5):1216-1224. Epub 2022 Mar 18.

From the Division of Plastic Surgery, Lehigh Valley Health Network; and American Society of Plastic Surgeons.

Background: Hidradenitis suppurativa is a chronic inflammatory dermatologic condition occurring most commonly in areas with large numbers of apocrine sweat glands. Surgical excision and wound reconstruction are indicated for severe or refractory disease. This study aims to explore institutional reconstructive outcomes following hidradenitis suppurativa excision and compare these to the nationally recognized Tracking Operations and Outcomes for Plastic Surgeons (TOPS) database to determine best-practice guidelines. Read More

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Getting to the Core of Contemporary Therapies for Post-Inflammatory Hyperpigmentation.

Authors:
Piyu Naik

J Drugs Dermatol 2022 Mar;21(3):276-283

Post-inflammatory hyperpigmentation (PIH) is a typical complication of inflammatory dermatoses that more frequently and severely affects people with darker skin. External insults to the skin, such as burn injuries, dermatologic treatments, and intrinsic skin disorders (eg, eczema and acne), are common causes of PIH. Individuals with darker skin are prone to develop PIH, which can cause substantial psychological suffering. Read More

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Short- and long-term prognostic factors associated with functional recovery in elderly patients with hip fracture: A systematic review.

Osteoporos Int 2022 Jul 5;33(7):1429-1444. Epub 2022 Mar 5.

Medical Unit of High Specialty Traumatology and Orthopaedics Hospital "Lomas Verdes", Mexican Institute of Social Security (UMAE Hospital de Traumatología Y Ortopedia "Lomas Verdes", Instituto Mexicano del Seguro Social), Naucalpan de Juárez, Mexico. Faculty of Medicine of National Autonomous University of Mexico (Universidad Nacional Autónoma de México), Mexico City, Mexico.

This systematic review aimed to identify short- and long-term associated factors to functional recovery of elderly hip fracture patients after discharge. We identified 43 studies reporting 74 associated factors to functional recovery; most of them were biological, sociodemographic, or inherent factors to patients' baseline characteristics, including their pre-facture functional capacity.

Purpose: This systematic review aimed to identify short- and long-term associated factors to functional recovery of elderly hip fracture patients after hospital discharge. Read More

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Optimizing surgical outcome of auricular keloid with a novel multimodal approach.

Sci Rep 2022 03 3;12(1):3533. Epub 2022 Mar 3.

Department of Dermatology, Chang Gung Memorial Hospital Linkou Main Branch, Taoyuan, Taiwan.

Various treatments are available for auricular keloids, but none has an absolute advantage. A practical and safe therapy to optimize the surgical outcome for auricular keloids is needed. We adopted a multimodal treatment of surgical enucleation, core fillet flap reconstruction, intraoperative corticosteroid injection, and immediate postoperative radiotherapy. Read More

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Dufourmentel flap for surgical treatment of medium-sized congenital melanocytic nevi on the extremities.

Dermatol Ther 2022 04 14;35(4):e15357. Epub 2022 Feb 14.

Plastic Reconstructive and Aesthetic Surgery, Medical Center ASD Consult, Sofia, Bulgaria.

Congenital melanocytic nevi (CMN) are quite common benign proliferations of cutaneous melanocytes. They are present at birth or arise during the first few weeks of life being upper and lower extremities one of the most common locations. To date, consistent guidelines for clinical management of CMN do not yet exist and the main reasons for removing them are medical and cosmetic. Read More

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Monobloc Differential Distraction Osteogenesis.

J Craniofac Surg 2022 Jan-Feb 01;33(1):270-275

Spectrum Health Integrated Plastic Surgery Residency, Grand Rapids, MI.

Abstract: Midface advancement at the monobloc level can be the seminal life event for patients with craniofacial dysostosis. Monobloc reconstruction, when planned appropriately, can simultaneously and definitively address multiple functional and aesthetic deficiencies in these patients. The application of distraction has reduced the morbidity experienced with traditional monobloc surgery. Read More

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January 2022

Complications in Brachioplasty: A Systematic Review and Meta-Analysis.

Plast Reconstr Surg 2022 Jan;149(1):83-95

From the Division of Plastic and Reconstructive Surgery, McGill University Health Center; and Division of Experimental Surgery, Faculty of Medicine, and Department of Anesthesia, McGill University.

Background: Brachioplasty procedures have experienced a surge in popularity over the past decade, mirroring the rise in bariatric procedures and growing population of massive weight loss patients. The authors estimated the incidence of associated complications and identify possible patient- or procedure-related predictive factors.

Methods: A systematic review was performed using the PubMed, Cochrane, and Embase databases; extracted data were synthesized through a random-effects meta-analysis of proportions and a multivariate meta-regression. Read More

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January 2022

Utility of Dermal Wound Matrices Compared with Local-Tissue Rearrangement and Free Flap Reconstruction for Oncologic Scalp Wounds: A Multidisciplinary Dual Matched-Pair Analysis.

Plast Reconstr Surg 2022 Feb;149(2):469-480

From the Division of Plastic Surgery, Department of Surgery, and Division of Dermatologic Surgery, Department of Dermatology, University of Pennsylvania.

Background: Local tissue rearrangement, free flap reconstruction, and Bilayer Wound Matrix represent reconstructive modalities for coverage of scalp defects; however, preferred indications are less clear. The authors aimed to evaluate the efficacy of these interventions.

Methods: A retrospective review (2008 to 2019) was performed of subjects requiring soft-tissue reconstruction of oncologic scalp wounds. Read More

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February 2022

Axillary Web Syndrome Complicating Dermatologic Surgery.

Dermatol Surg 2022 Jan;48(1):150-152

Department of Dermatology, National Skin Centre, Singapore.

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January 2022

Dermatologic complications of orthopedic casts in pediatric patients.

Pediatr Dermatol 2022 Jan 9;39(1):5-11. Epub 2021 Dec 9.

Division of Dermatology, Department of Internal Medicine, The Ohio State University Wexner Medical Center, Columbus, Ohio, USA.

Cast immobilization is performed in pediatric patients to support fracture healing, provide post-operative protection, or correct congenital deformities. Pediatric dermatologists will likely encounter the casted patients in their practice. These patients may present with cast-related complications that can arise due to the cast application or removal process, the inner cast environment, direct physical effects of the cast, or other external factors. Read More

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January 2022

Perioperative Management of Biologics: To Have or to Hold.

Dermatol Surg 2022 Jan;48(1):145-146

Department of Dermatology, The University of Oklahoma Health Sciences Center, Oklahoma City, Oklahoma.

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January 2022

Characteristics and comorbidities of Medicare beneficiaries receiving care from Mohs micrographic surgeons based on fellowship training and practice setting.

Dermatol Online J 2021 Aug 15;27(8). Epub 2021 Aug 15.

Department of Dermatology, University of Connecticut Health Center, Farmington, CT.

The characteristics and medical conditions of patients being managed by Mohs micrographic surgeons (MMS) have not been extensively established. In this cross-sectional review of 2017 Medicare Public Use data, we compared patient demographics and medical comorbidities among dermatologists billing for MMS based on surgeon fellowship training and practice settings. Overall patient complexity, as measured through Medicare's Hierarchical Condition Category (HCC) score, did not significantly differ by fellowship training status. Read More

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Vulvar Lymphangioma Circumscriptum Secondary to Crohn Disease.

Mayo Clin Proc 2021 11;96(11):2923-2924

Dermpath Diagnostics Richfield Laboratory of Dermatopathology, Cincinnati, OH. Electronic address:

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November 2021

An Algorithm for Managing Spitting Sutures.

Cutis 2021 Aug;108(2):100-101

From the Department of Dermatology, The University of Texas Medical Branch, Galveston.

Spitting sutures are a common complication of dermatologic surgery following closure of a cutaneous defect using buried sutures. This development can be distressing and uncomfortable for patients and may lead to further complications, such as surgical-site infection and abscess. Presented here is a straightforward and reliable algorithm to guide management of spitting sutures and their complications. Read More

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Catastrophic Bleeding Complications in 2 High-Risk Patients After Dermatologic Surgery.

Dermatol Surg 2021 12;47(12):1664-1665

Department of Dermatology, University of Colorado School of Medicine, Aurora, Colorado.

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December 2021

Clear Cell Acanthoma: Sural Nerve Entrapment and Neuropathy After Excision.

Dermatol Surg 2021 11;47(11):1534-1535

Sinclair Dermatology, East Melbourne, Victoria, Australia.

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November 2021

Severe drug-associated colitis with Crohn's features in setting of ixekizumab therapy for chronic plaque psoriasis.

BMC Gastroenterol 2021 Oct 2;21(1):361. Epub 2021 Oct 2.

Discipline of Medicine, Memorial University of Newfoundland, 300 Prince Philip Drive, St. John's, NL, A1B 3V6, Canada.

Background: Ixekizumab is monoclonal antibody targeted against interleukin-17 (IL-17) and has been approved for use in chronic plaque psoriasis. Despite its efficacy in treating psoriasis, concerns have been raised regarding Ixekizumab's potential to induce and exacerbate inflammatory bowel disease (IBD).

Case Presentation: Here we report the new onset of severe drug-associated colitis with surgical complications in a 45-year-old male patient who was receiving Ixekizumab therapy for chronic plaque psoriasis. Read More

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October 2021

Risk of complications due to antithrombotic agents in cutaneous surgery: a systematic review and meta-analysis.

J Dtsch Dermatol Ges 2021 10 1;19(10):1421-1432. Epub 2021 Oct 1.

Division of Evidence-Based Medicine, Department of Dermatology, Venereology and Allergology, Charité - Universitätsmedizin Berlin, Corporate member of Freie Universität Berlin, Humboldt-Universität zu Berlin, and Berlin Institute of Health, Berlin, Germany.

Background And Objectives: We aimed to determine the risk of complications during cutaneous surgery for the perioperative discontinuation in comparison to the continuation of antithrombotic agents and the bridging of vitamin K antagonists with heparin in comparison to their continuation.

Methods: We conducted a systematic review, searching three databases for eligible studies. Methods followed the Cochrane Handbook. Read More

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October 2021

Diagnostic Delays for Non-melanoma Skin Cancers in Renal Transplant Recipients during the COVID-19 Pandemic: What is Hiding Behind the Mask?

Acta Dermatovenerol Croat 2021 Jul;29(2):111-113

Professor Nikolina Bašić-Jukić, MD, PhD, Department of Nephrology, Arterial Hypertension, Dialysis and Transplantation, University Hospital Centre Zagreb, Kišpatićeva 12, 10000 Zagreb, Croatia;

Dear Editor, The ongoing pandemic of coronavirus disease 2019 (COVID-19) was declared by the World Health Organization on March 11, 2020, and remains a global challenge. COVID-19 is caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), transmitted primarily through respiratory droplets and aerosols. Even though the COVID-19 vaccine has become available since December 2020, the main preventive measures still include social distancing, hand washing, and the use of protective face masks. Read More

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The Pathogenesis and Management of Acne-Induced Post-inflammatory Hyperpigmentation.

Am J Clin Dermatol 2021 Nov 1;22(6):829-836. Epub 2021 Sep 1.

Department of Dermatology, Johns Hopkins School of Medicine, Baltimore, MD, USA.

Acne vulgaris is a common inflammatory disease. Among patients with darker skin phototypes (Fitzpatrick III-VI), the inflammatory processes of acne stimulate excess melanogenesis and abnormal melanin deposition, leading to pigmentary sequelae known as post-inflammatory hyperpigmentation and post-inflammatory erythema in all skin tones, although post-inflammatory hyperpigmentation is more common in darker skin and post-inflammatory erythema in lighter skin. These pigmentary alterations can be long lasting and are often more distressing to patients than the active acne lesions. Read More

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November 2021