Skin, Scalp, and Nail

Abstract

Surgical anatomy of the skin, scalp, and nail is presented for the general surgeon. Step-by-step surgical techniques are provided for treatment of benign skin lesions (epidermal inclusion cysts, sebaceous cysts, pilonidal cysts, ganglia, warts, keratoses, keloids, hemangiomatas, arteriovenous malformations, glomus tumors, capillary malformations, decubitus ulcers, hidradenitis suppurativae, burns, and nevi) and malignant skin lesions (melanoma, basal cell carcinoma, squamous cell carcinoma, sweat gland carcinoma, fibrosarcoma, hemangiopericytoma, Kaposi’s sarcoma, and dermatofibrosarcoma protuberans).

Sentinel lymph node biopsy and regional lymph node staging are presented with consideration of current controversies in surgical oncology. Free skin grafts (split-thickness and full-thickness) are contrasted with pedicle grafts. The anatomy and surgery of the scalp covers excision of lesions and biopsy of the temporal artery. Ingrown toenail may require conservative treatment or total excision of the nail.