Journal Information
Vol. 100. Issue 8.
Pages 661-668 (October 2009)
Share
Share
Download PDF
More article options
Vol. 100. Issue 8.
Pages 661-668 (October 2009)
Controversies in dermatology
Full text access
Complications in Dermatologic Surgery
Complicaciones en Dermatología Quirúrgica
Visits
7514
R. Jiménez-Puya
Corresponding author
JIMPUYA@terra.es

Correspondence: Rafael Jiménez Puya, Servicio de Dermatología M-Q y Venereología, Hospital Universitario Reina Sofía, Avda. Menéndez Pidal, s/n, 14004 Córdoba, Spain.
, C. Vázquez-Bayo, F. Gómez-García, J.C. Moreno-Giménez
Servicio de Dermatología, Hospital Universitario Reina Sofía, Córdoba, Spain
This item has received
Article information
Abstract
Bibliography
Download PDF
Statistics
Abstract

Surgical complications are any deviation from the expected course of the surgical procedure. They occur as a consequence of one or more unexpected events, which can be avoided in the majority of cases through careful planning, a precise surgical technique, and correct postoperative care. Some complications, such as cardiac arrhythmias, anaphylaxis, and cardiorespiratory arrest, are life-threatening whereas others, occurring as a direct result of surgery, can affect the healing process and the final cosmetic appearance of the scar. We must therefore have not only the relevant training in dermatologic surgery, but also in basic and advanced cardiopulmonary resuscitation. In this review we discuss the perioperative measures necessary to avoid the onset of complications in dermatologic surgery and we define the various complications that can develop.

Key words:
dermatologic surgery
complications
dehiscence
necrosis
hematoma
infection
Resumen

Las complicaciones quirúrgicas son desvíos de la evolución esperada en la realización del acto quirúrgico. Ocurren como consecuencia de uno o varios sucesos inesperados que, en la mayoría de los casos, podrían evitarse con una planificación previa minuciosa, una atención máxima durante la cirugía y unos cuidadospostoperatorios adecuados. Algunas complicaciones son vitales, como la aparición de arritmia cardíaca, anafilaxia o parada cardiorrespiratoria, y otras, derivadas directamente de la cirugía cutánea, pueden afectar al proceso de cicatrización y al aspecto estético final de la cicatriz. Por lo tanto, no solamente debemos tener una formación adecuada en cirugía cutánea, sino también en reanimación cardiopulmonar básica y avanzada. En estarevisión comentaremos las medidas perioperatorias necesarias para evitar la aparición de complicaciones en lacirugía dermatológica y definiremos las diferentes complicaciones que pueden aparecer tras la misma.

Palabras clave:
cirugía dermatológica
complicaciones
dehiscencia
necrosis
hematoma
infección
Full text is only aviable in PDF
References
[1.]
S.R. Peterson, A.K. Joseph.
Inherited bleeding disorders in dermatologic surgery.
Dermatol Surg, 27 (2001), pp. 885-889
[2.]
M.E. Maloney.
Management of surgical complications and suboptimal results.
Cutaneous Surgery, pp. 921-934
[3.]
P.P. Otley.
Perioperative evaluation and management in dermatology surgery.
J Am Acad Dermatol, 54 (2006), pp. 119-127
[4.]
C. Blasdale, C.M. Lawrence.
Perioperative international normalized ratio level is a poor predictor of postoperative bleeding complications in dermatological surgery patients taking warfarin.
Br J Dermatol, 158 (2008), pp. 522-526
[5.]
E.M. Billingsley, M.E. Maloney.
Intraoperative and postoperative bleeding problems in patients taking warfarin, aspirin, and nonsteroidal antiinflammatory agents. A prospective study.
Dermatol Surg, 23 (1997), pp. 381-383
[6.]
F.J. Caliendo, V.J. Halpern, C.P. Marini, I.M. Nathan, D. Patel, G. Faust, et al.
Warfarin anticoagulation in the perioperative period: is it safe?.
Ann Vasc Surg, 13 (1999), pp. 11-16
[7.]
J.H. Campbell, F. Alvarado, R.A. Murray.
Anticoagulation and minor oral surgery: should the anticoagulation regimen be altered?.
J Oral Maxillofac Surg, 58 (2000), pp. 131-135
[8.]
K.G. Lewis, R.G. Dufresne.
A meta-analysis of complications attributed to anticoagulation among patients following cutaneous surgery.
Dermatol Surg, 34 (2008), pp. 160-164
[9.]
H.P. Ehrlich, T.K. Hunt.
Effects of cortisone and vitamin A on wound healing.
Ann Surg, 167 (1968), pp. 324
[10.]
M.S. Agren, L. Franzén, M. Chvapil.
Effects on wound healing of zinc oxide in a hydrocolloid dressing.
J Am Acad Dermatol, 29 (1993), pp. 221-227
[11.]
S. Levenson, E. Seither.
Dysnutrition, wound healing and resistance to infection.
Clin Plast Surg, 4 (1977), pp. 375-388
[12.]
M. Ginarte, C. Peteiro, J. Toribio.
Keloid formation induced by isotretinoin therapy.
Int J Dermatol, 38 (1999), pp. 228-229
[13.]
J.B. Kinsella, C.H. Rassekh, Z.D. Wassmuth, J.A. Hokanson, K.H. Calhoun.
Smoking increases facial skin flap complications.
Ann Otol Rhinol Laryngol, 108 (1999), pp. 139-142
[14.]
D. Goldminz, R.G. Bennett.
Cigarette smoking and flap and full-thickness graft necrosis.
Arch Dermatol, 127 (1991), pp. 1012-1015
[15.]
A.F. Haas, R.C. Grekin.
Antibiotic prophylaxis in dermatologic surgery.
J Am Acad Dermatol, 32 (1995), pp. 155-176
[16.]
M.J. Messingham, C.J. Arpey.
Update on the use of antibiotics in cutaneous surgery.
Dermatol Surg, 31 (2005), pp. 1068-1078
[17.]
T.I. Wright, L.M. Baddour, E.F. Berbari, R.K. Roenigk, P.K. Phillips, M.A. Jacobs, et al.
Antibiotic prophylaxis in dermatologic surgery: advisory statement 2008.
J Am Acad Dermatol, 59 (2008), pp. 464-473
[18.]
R. Jiménez Puya, A. Rodríguez Bujaldón, J.C. Moreno Giménez.
Necrosis del colgajo.
Piel, 22 (2007), pp. 304-308
[19.]
S.J. Salasche, G. Bernstein, M. Senkarik.
Surgical anatomy of the skin.
Appleton & Lange, (1988),
[20.]
J.K. Robinson.
Management of hematomas.
Atlas of cutaneous surgery, pp. 73-77
Copyright © 2009. Academia Española de Dermatología y Venereología and Elsevier España, S.L.
Download PDF
Idiomas
Actas Dermo-Sifiliográficas
Article options
Tools
es en

¿Es usted profesional sanitario apto para prescribir o dispensar medicamentos?

Are you a health professional able to prescribe or dispense drugs?