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Dermatologic Surgery complications

Thuong Nguyen Van, Tan Nguyen Manh, Phuong Pham Thi Minh, Trang Trinh Minh, Nghi Dinh Huu, Kiem Pham Cao, Quang Nguyen Huu, Van Tran Cam, My Le Huyen, Khang Tran Hau, Marco Gandolfi, Francesca Satolli, Claudio Feliciani, Michael Tirant, Aleksandra Vojvodic, Torello Lotti
BACKGROUND: Up to now, surgical excision of apocrine glands still has been a method that yields high treatment results and low rate of odour recurrent for patients, but many people worry about some serious complications that have been observed postoperatively, such as hematoma and skin necrosis. These prolong wound healing, leading to unsightly scars in the axillary fossae. AIM: We conducted this research to investigate the effects and complications of our surgical technique for axillary bromhidrosis...
January 30, 2019: Open Access Macedonian Journal of Medical Sciences
Hannah J Anderson, Matthew Keller
Although most dermatologic procedures are done in an office setting, some providers are performing them instead in ambulatory surgery centers (ASCs). This relocation of care comes with significantly higher expenses for patients and insurers. Compounding the issue of increased costs is the paucity of evidence demonstrating better outcomes associated with the use of ASCs. The most common cutaneous procedures have low complication rates when performed in an office setting and regular use of ASCs for these procedures is not justified...
January 15, 2019: Dermatology Online Journal
Chloé Bertin, Rachid Abbas, Valérie Andrieu, Florence Michard, Christophe Rioux, Vincent Descamps, Yazdan Yazdanpanah, Fabrice Bouscarat
Male-to-female transgender (MtF TG) individuals often report using illegal subcutaneous silicone injections for body feminisation. It leads to silicone dissemination and various dermatologic complications.We report the long-term complications of these feminisation procedures with blood smear examination and dermatologic examination.Between July 2015 and December 2015, 77 MtF TG consulting at Bichat Hospital (Paris, France) were included in this cross-sectional study. Blood smear examinations were performed by a trained haematologist to quantify the presence of silicone vacuoles in monocytes...
January 2019: Medicine (Baltimore)
Nikhil Dhingra, Lauren Meshkov Bonati, Erica B Wang, Margaret Chou, Jared Jagdeo
Transgender individuals may transition to their identified gender through social, hormonal, and procedural methods by using a multidisciplinary team of health care providers, including dermatologists. In this review, we discuss the medical and aesthetic dermatologic needs related to the transitioning of transgender patients and provide therapeutic and procedural recommendations. In addition to routine cutaneous conditions, dermatologists may need to treat hormonal therapy-related complications. Acumen for genital dermatology and familiarity with gender reassignment surgery is important for the dermatologist caring for a transgender patient...
January 21, 2019: Journal of the American Academy of Dermatology
Sabine A Egeler, Anna Rose Johnson, Ahmed M S Ibrahim, Alexandra Bucknor, Austin Chen, Masoud Malyar, Adam M Tobias, Samuel J Lin, Marc A M Mureau, Bernard T Lee
BACKGROUND: Defects following Mohs micrographic surgery (MMS) can range in size from small defects requiring linear closure to large defects needing flap coverage. Reconstruction is dependent on defect size and facial aesthetic unit involvement. The aim of this study was to review the types of facial reconstruction per aesthetic unit involvement and describe their outcomes. METHODS: All data were retrieved for patients ≥18 years who underwent multidisciplinary treatment including dermatological MMS and plastic surgical reconstruction at a single tertiary hospital center (2001-2017)...
January 10, 2019: Journal of Craniofacial Surgery
Lindsey Goddard, Cameron Chesnut
BACKGROUND: Lateral tarsal strip (LTS) and medial spindle (MS) procedures are surgical techniques used to address cicatricial ectropion. OBJECTIVE: To evaluate the clinical characteristics and efficacy of simultaneous LTS and MS procedures for repair of cicatricial ectropion occurring after dermatologic surgeries. METHODS: A retrospective review of all cases of symptomatic, cicatricial, lateral, and medial punctal ectropion in 1 author's (C...
January 4, 2019: Dermatologic Surgery: Official Publication for American Society for Dermatologic Surgery [et Al.]
Ugonna E Ezeh, Harper N Price, Mohan V Belthur
We report on a rare case of allergic contact dermatitis (ACD) from Mastisol liquid adhesive. We are aware of a few reports in the medical literature, but none describes an allergic reaction during the third exposure to the offending agent. Our patient was a 20-year-old Caucasian man with a history of cerebral palsy spastic hemiplegia who underwent single-event multilevel soft-tissue surgery to optimize function of his left upper extremity. He developed a severe cutaneous allergic reaction after his third exposure to Mastisol...
September 2018: Journal of the American Academy of Orthopaedic Surgeons. Global Research & Reviews
Ø Grimstad, T Tzellos, D N Dufour, Ø Bremnes, I M Skoie, I Snekvik, E Jarnaess, A Kyrgidis, G Ingvarsson
BACKGROUND: Hidradenitis suppurativa (HS) substantially affects health-related quality-of-life outcomes. Most treatment options are supported by low quality of evidence without validated outcomes. OBJECTIVE: The aim of this study was to evaluate the efficacy of surgical and medical interventions using physician- and patient-reported outcomes registered in HISREG. METHODS: Data were extracted for all adult patients registered in HISREG between January 2013 and April 2016...
November 19, 2018: Journal of the European Academy of Dermatology and Venereology: JEADV
Hyung Su Kim, Chong Won Choi, Bo Ri Kim, Sang Woong Youn
Importance: The main treatment of lower eye bags is changing from fat removal techniques to fat repositioning techniques. However, fat repositioning techniques have potential complications because of disruption of the middle lamellae, leading to contracture and shortening. Objective: To determine whether transconjunctival fat removal followed by resected fat grafting is an effective alternative method of eye bag treatment. Design, Setting, and Participants: This retrospective study of 229 consecutive patients who underwent transconjunctival fat removal followed by resected fat grafting from November 1, 2011, to October 31, 2017, was conducted by review of medical records from the Seoul H Dermatology Clinic in Seoul, Korea...
November 8, 2018: JAMA Facial Plastic Surgery
Birgitte Skjærbæk Aggerholm, Mads Kirchheiner Rasmussen, Mette Meinert
In this case report a 42-year-old woman presented with a long history of hidrosadenitis suppurativa (HS). Due to recurrent abscesses and post-operative complications, she underwent 69 operations in general anaesthesia as well as numerous incisions in local anaesthesia in 2013-2017. The abscesses were repeatedly treated with simple incisions, although a Danish guideline from 2016 does not recommend this procedure as treatment of patients with HS, since there is a high rate of recurrence. This illustrates the necessity of increasing knowledge of the treatment of HS...
November 5, 2018: Ugeskrift for Laeger
Jose Vale, Yijun Pang, Arthur Kumpf, David Fitkin, Scott Drew
INTRODUCTION: Cutaneous squamous cell cancer (cSCC) is a common condition, with straight forward and well-known heuristics regarding diagnosis, treatment, and surveillance. cSCC arising in an epidermal inclusion cyst is rare, but not unheard of. In contrast, the authors' are unaware of any prior reports of cSCC arising in an epidermal inclusion cyst within an atypical cavernous and cavitating lesion in the perineum. PRESENTATION OF CASE: A 48-year-old male presented with a cavitating and rapidly growing cutaneous perineal lesion...
October 29, 2018: International Journal of Surgery Case Reports
Meth Ruvinda Delpachitra, Clare Heal, Jennifer Banks, Pranav Divakaran, Mrinal Pawar
OBJECTIVE: To identify patient- and procedure-related risk factors for surgical site infection following minor dermatological surgery. DATA SOURCES: The MEDLINE, Cumulative Index of Nursing and Allied Health Literature, Informit, and Scopus databases were searched for relevant literature on patient populations receiving minor surgery, where risk factors for surgical site infection were explicitly stated. STUDY SELECTION: Studies involving major dermatological surgery were excluded...
October 30, 2018: Advances in Skin & Wound Care
Susumu Hirosako, Kazuyoshi Nakamura, Shohei Hamada, Kazuaki Sugahara, Chieko Yoshida, Sho Saeki, Keisuke Kojima, Shinichiro Okamoto, Hidenori Ichiyasu, Kazuhiko Fujii, Hirotsugu Kohrogi
BACKGROUND: Due to advances in medicine, patients with pulmonary diseases have become candidates for surgery under general anesthesia. They often consult pulmonologists to assess their tolerability for surgery. The purpose of this study was to evaluate the significant characteristics responsible for postoperative pulmonary complications (PPCs) and the preclusion of the planned surgery. METHODS: The clinical data of 462 consecutive patients who consulted at the Department of Respiratory Medicine before surgery under general anesthesia were used in this study...
November 2018: Respiratory Investigation
B Saka, A E Abilogoun-Chokki, S Akakpo, J Teclessou, G W Soga, G Mahamadou, W Gnassingbe, A Mouhari-Toure, K Kombate, E D Dosseh, V P Pitche
The aim of this study was to document the profile and causes of chronic leg ulcers (CLU) in patients hospitalized in Lomé, Togo. This retrospective study reviewed records from the dermatology departments (CHU Sylvanus Olympio and Campus, and the dermatology center of Gbossimé) from 2000 to 2017 and from the general surgery department of CHU Sylvanus Olympio from 2013 to 2017 to identify cases. In all, 125 cases of CLU were identified during the study period. The patients' mean age was 56.6 years and the sex ratio (M/F) was 0...
August 8, 2018: Médecine et Santé Tropicales
Brayden Forbes, Aaron M Secrest, Matthew Q Hand, Mark J Eliason
Objective: The purpose of this study was to describe and evaluate the process of implementing a routine telephone follow-up (TFU) system for capturing postoperative complications or concerns among Mohs micrographic surgery (MMS) patients. Design: Postoperatively, patients were called twice: 1) within 24 to 48 hours to assess bleeding, swelling, and pain control; and 2) at one week to assess wound care, signs of infection, or other concerns. Setting: The study took place in a single-institution academic dermatology department with five fellowship-trained Mohs surgeons...
July 2018: Journal of Clinical and Aesthetic Dermatology
Aakash Desai, Anand Krishnan, Ahmed Zaghloul, Mitchell McClure
Mohs micrographic surgery (MMS) is a specialised micrographic technique used for the treatment of locally invasive skin cancers. Despite being a relatively low risk surgery, the overall complication rates range between 1.6% and 3%. Common complications include postoperative haemorrhage, haematoma formation, wound infection, wound dehiscence and flap/graft necrosis. Osteomyelitis after dermatological cancer surgery is exceedingly rare. There have only been two cases of osteomyelitis in association with Mohs surgery reported in the literature to date...
July 26, 2018: BMJ Case Reports
Corey DeWitt, Todd Holmes
BACKGROUND: Island pedicle flaps (IPFs) are a frequently used reconstructive option in dermatologic surgery. With variations in its execution, the flap can be used for an assortment of facial defects. OBJECTIVE: To describe the execution of a flipped IPF for the reconstruction of medium to large preauricular wounds after Mohs micrographic surgery. MATERIALS AND METHODS: An analysis of the flipped IPF reconstruction of 12 preauricular defects is presented...
July 16, 2018: Dermatologic Surgery: Official Publication for American Society for Dermatologic Surgery [et Al.]
Thomas Nichols
PURPOSE: The objective of this study was to examine relationships among social interaction, health utility, and peristomal skin status in adults with ostomies. DESIGN: Cross-sectional, descriptive. SUBJECTS AND SETTING: 15,591 persons residing in the United States were randomly selected from 3 multinational proprietary databases of individuals who had undergone surgery. METHODS: The study was a cross-sectional assessment utilizing the SF36v2 survey instrument...
September 2018: Journal of Wound, Ostomy, and Continence Nursing
Adam Schmitt, Jennifer DePry, Sheena Tsai, Jeremy Bordeaux
BACKGROUND: As the number of cutaneous surgeries continues to increase, it is important to evaluate the safety of dermatologic surgery in the outpatient setting. OBJECTIVE: The authors sought to determine postoperative bleeding, infection, dehiscence, and necrosis rates in office-based dermatologic surgery using large flap, large graft, and interpolation flap repairs. The authors evaluated the relationship between these complications and surgical site, closure type, repair size, antibiotic use, and antithrombotic use...
June 27, 2018: Dermatologic Surgery: Official Publication for American Society for Dermatologic Surgery [et Al.]
Alejandra Tomás-Velázquez, Pedro Redondo
Importance: Forehead reconstruction after Mohs surgery has become a challenge for dermatology surgeons, and achieving an excellent cosmetic and functional result is imperative in this location. Objective: To highlight the utility of a frontalis myocutaneous transposition flap (FMTF) for forehead reconstruction after Mohs surgery. Design, Setting, and Participants: Surgical technique case series including 12 patients with large forehead defects recruited between January 2010 and June 2017 at the Dermatology Department of the University Clinic of Navarra, Spain...
June 1, 2018: JAMA Dermatology
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