Excision and repair:
Gespeichert in:
| Format: | Buch |
|---|---|
| Sprache: | English |
| Veröffentlicht: |
Philadelphia [u.a.]
Saunders
1998
|
| Schriftenreihe: | Dermatologic clinics
16,1 |
| Schlagworte: | |
| Online-Zugang: | Inhaltsverzeichnis |
| Beschreibung: | VII, 215 S. Ill. |
Internformat
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Datensatz im Suchindex
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| adam_text | EXCISION AND REPAIR
CONTENTS
Preface ix
S. Teri McGillis
The Preoperative Patient Evaluation: Preparing for Surgery 1
S. Teri McGillis and Ursula Stanton Hicks
The preoperative evaluation and examination are an important interaction
between patient and physician. Careful assessment of history and physical
findings will help prevent surgery day surprises and reduce risk of compli¬
cations. This article outlines essential components of the preoperative
patient evaluation.
The Surgical Tray 17
L. Arthur Weber
An overview of the most commonly used instruments for excisional sur¬
gery is provided. Some specialty instruments are also discussed. This
article may serve as a starting point for the outfitting of a dermatologic
surgery practice. Although several instruments are discussed, only the
surgeon can decide which tools work best.
Dressing the Part 25
Chang Y. Cho and Jacob S. Lo
Wound care after cutaneous surgery can play an integral role in wound
healing. This article reviews wound healing physiology and the roles of
topical agents, such as antiseptics and topical ointments, and the numerous
occlusive dressings presently available in postsurgical wound care. The
use of prophylactic antibiotics in preventing wound infections and endo¬
carditis is discussed in the setting of cutaneous surgery. General wound
care guidelines are also provided.
The Simple Excision 49
Elizabeth Dunlavey and Barry Leshin
Elliptical excisional surgery offers several advantages over other cutaneous
surgical techniques (i.e., shave excision, saucerization) which require heal
| DERMATOLOGIC CLINICS
VOLUME 16 • NUMBER 1 • JANUARY 1998 V
ing by second intention. In general, an elliptical excision exhibits faster
healing, better cosmesis, and yields a specimen for histologic exam and
review of margins, and with proper attention to the details of cutaneous
anatomy, familiarity with instrumentation, local anesthetics, suture materi¬
als, and observance of meticulous surgical technique, is performed with
relative ease in the dermatology outpatient office setting.
Field Guide to Local Flaps 65
Briana W. Heniford, Philip L. Bailin, and Robert E. Marsico, Jr
Local skin flaps are an integral part of the dermatologic surgeon s recon¬
struction efforts. An understanding of the basic categories of flaps and
their characteristics is essential. This article reviews the broad categories
of flaps and common examples of each.
Skin Grafting: From Here to There 75
Desiree Ratner
Free skin grafts for soft tissue reconstruction can be classified into four
types: full thickness skin grafts, split thickness skin grafts, composite
grafts, and free cartilage grafts. The indications, techniques, donor site
considerations, and postoperative complications of each type of skin graft
are reviewed.
Nasal Anatomy and Reconstruction 91
Dan H. Meirson
This article reviews nasal reconstruction. It will summarize the anatomy,
anesthesia, and the anatomical subunits of this complex structure. It then
reviews reconstruction of various subunits of the nose by secondary inten¬
tion, primary closures, full thickness skin grafts, and local flaps. These are
repairs commonly used by the dermatologic surgeon.
The Ear: Excision and Repair 109
Christine M. Hayes
The ear is a common site for the development of cutaneous malignancies
such as basal cell carcinomas, squamous cell carcinomas, and melanomas
as well as benign processes including nevi, epidermal inclusion cysts and
chondrodermatitis nodularis chronic helices among others. This article
focuses on the treatment of these entities. Repair options for the ear
are discussed including complex linear closure, flaps, grafts, and wedge
excisions along with the anatomy of the ear, anesthesia, wound care, and
possible complications.
The Lips: Excision and Repair 127
Conway C. Huang and Christopher J. Arpey
Dermatologists commonly encounter lesions arising on the lips that re¬
quire excision either for biopsy or treatment. Several surgical techniques
used for excision and repair of the lip in the treatment of these conditions
are reviewed. Topics covered include the importance of the lip, lip anat¬
omy as it pertains to cutaneous surgery, techniques for obtaining lip
anesthesia, partial thickness and full thickness lip excision and repair,
surgical vermilionectomy, and carbon dioxide laser vermilionectomy. Em¬
phasis will be placed on those surgical techniques that might commonly
be used in a general dermatology practice.
vi CONTENTS
Nail Surgery 145
Robert E. Clark, Shabnam Madani, and Miriam S. Bettencourt
Nail deformities may present as wither medical or cosmetic problems,
often requiring surgical intervention. These deformities have a number
of etiologic factors including infections, inflammatory disease processes,
congenital abnormalities, trauma, tumors, and systemic diseases. This arti¬
cle discusses several nail problems and surgery techniques.
Scar Revision 165
S. Teri McGillis and Armand R. Lucas
Scar improvement is an age old endeavor. Multiple modalities exist for
improving a scar s appearance. This article will review scar types and
offer a brief overview of nonsurgical and surgical options for scar revision.
Atlas of Excision and Repair 181
S. Teri McGillis, Desiree Ratner, Robert E. Clark,
Shabnam Madani, Miriam S. Bettencourt, L. Arthur Weber,
Conway C. Huang, Christopher J. Arpey, Christine M. Hayes,
Jacob S. Lo, and Chang Y. Cho
Current Therapy
Sclerotherapy Treatment Insights 195
David Green
The permanent eradication of ectatic veins while minimizing the incidence
of adverse effects, minimizing patient discomfort, and treating the maxi¬
mal number of veins during each session are goals of injection sclerother¬
apy. Accomplishing these goals requires more than skill at cannulation
and injection into a vein. An understanding of the mechanism of action of
sclerotherapy, and knowledge of lower extremity venous anatomy and
hemodynamics are crucial. Insuring a satisfactory outcome also requires
that the patient is thoroughly informed about the procedure and its possi¬
ble risks. In addition to addressing these issues, this author presents the
salient aspects of his pretreatment consultation, posttreatment recommen¬
dations, and appropriate documentation.
Index 213
Subscription Information Inside back cover
CONTENTS V11
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| series | Dermatologic clinics |
| series2 | Dermatologic clinics |
| spelling | Excision and repair S. Teri McGillis, guest ed. Philadelphia [u.a.] Saunders 1998 VII, 215 S. Ill. txt rdacontent n rdamedia nc rdacarrier Dermatologic clinics 16,1 Hautchirurgie (DE-588)4139427-6 gnd rswk-swf (DE-588)4143413-4 Aufsatzsammlung gnd-content Hautchirurgie (DE-588)4139427-6 s DE-604 MacGillis, S. Teri Sonstige oth Dermatologic clinics 16,1 (DE-604)BV000004924 16,1 HBZ Datenaustausch application/pdf http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=007957204&sequence=000002&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA Inhaltsverzeichnis |
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| title | Excision and repair |
| title_auth | Excision and repair |
| title_exact_search | Excision and repair |
| title_full | Excision and repair S. Teri McGillis, guest ed. |
| title_fullStr | Excision and repair S. Teri McGillis, guest ed. |
| title_full_unstemmed | Excision and repair S. Teri McGillis, guest ed. |
| title_short | Excision and repair |
| title_sort | excision and repair |
| topic | Hautchirurgie (DE-588)4139427-6 gnd |
| topic_facet | Hautchirurgie Aufsatzsammlung |
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