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Preoperative Measures

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Dermatologic Surgery

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Abstract

Cutaneous surgery is subject to the same rules and responsibilities as in all other branches of surgery, including the pre-, intra-, and postoperative periods. A basic rule is that the general condition of the patient must be taken into account when deciding whether to operate. Since in dermatologic surgery nearly all procedures are elective, one must also consider the many noninvasive techniques available when a patient appears to have operative risks. One must weigh especially carefully the risks and the benefits when considering a cosmetic procedure in a patient with other medical and psychiatric problems.

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Reference

  • Alborn M (1977) The management of recurrent basal-cell carcinomas. Please, no grafts or flaps at once. J Dermatol Surg Oncol 3: 382–384

    Google Scholar 

  • Bart RS, Kopf AW, Gladstein AH (1977) Treatment of morphea-type basal cell carcinomas with radiation therapy.Arch Dermatol 113: 783–786

    Article  PubMed  CAS  Google Scholar 

  • Bencini PL, Galimberti M, Signorini M, Crosti C (1991) Antibiotic prophylaxis of wound infections in skin surgery. Arch Dermatol 127: 1357–1360

    Article  PubMed  CAS  Google Scholar 

  • Borges AF (1984) Relaxed skin tension lines (RSTL) versus other skin lines. Plast Reconstr Surg 73: 144–150

    Article  PubMed  CAS  Google Scholar 

  • Brahams D (1988) Cosmetic surgery: greater duty to warn of risks. Lancet 2: 1434

    PubMed  CAS  Google Scholar 

  • Breuninger H (1984) Histologic control of excised tissue edges in the operative treatment of basal cell carcinomas. J Dermatol Surg Oncol 10: 724–727

    PubMed  CAS  Google Scholar 

  • Breuninger H, Schippert W, Black B, Rassner G (1989) Untersuchungen zum Sicherheitsabstand und zur Exzisionstiefe in der operativen Behandlung von Basaliomen. Hautarzt 40: 693–700

    PubMed  CAS  Google Scholar 

  • Brodland DG, Zitelli JA (1992) Surgical margins for excision of primary cutaneous squamous cell carcinoma. J Am Acad Dermatol 27: 241–248

    Article  PubMed  CAS  Google Scholar 

  • Brown CD (1992) Drug interactions in dermatologic surgery.J Dermatol Surg Oncol 18: 512–516

    PubMed  CAS  Google Scholar 

  • Brown MD, Johnson TM, Swanson NA (1991) Changing trends in melanoma treatment and the expanding role of the dermatologist. Dermatol Clin 9: 657–667

    PubMed  CAS  Google Scholar 

  • Burnakis TG (1984) Surgical antimicrobial prophylaxis: principles and guidelines. Pharmacotherapy 4: 248–271

    PubMed  CAS  Google Scholar 

  • Diem E (1988) Perioperative Antibiotika-Prophylaxe in der operativen Dermatologic. In: Haneke E (ed) Gegenwärtiger Stand der operativen Dermatologic. Springer, Berlin Heidelberg New York Tokyo (Fortschritte der operative Dermatologic, vol 4), pp 51–54

    Google Scholar 

  • Dzubow LM, Zack L (1990) The principle of cosmetic junctions as applied to reconstruction of defects following Mohs surgery. J Dermatol Surg Oncol 16: 353–355

    PubMed  CAS  Google Scholar 

  • Friederich HC (1961) Aesthetische Gesichtspunkte bei der Entfernung des Hautkarzinoms. Aesthet Med 10: 197–203

    Google Scholar 

  • Friederich HC (1962) Korrektive Dermatologic. In: Riecke E (ed) Lehrbuch der Haut- und Geschlechtskrankheiten. Fischer, Stuttgart

    Google Scholar 

  • Galla TJ, Anton-Lamprecht I, Kieser M, Saetzler RK, Messmer K (1992) Comparative analysis of tissue fluorescence as related to capillary perfusion in random pattern skin flaps. Br J Plast Surg 45: 578–585

    Article  PubMed  CAS  Google Scholar 

  • Goette DK (1986) The significance of transepithelial elimination in dermatologic surgery. J Dermatol Surg Oncol 12: 608–613

    PubMed  CAS  Google Scholar 

  • Goldsmith SM, Leshin B, Owen J (1993) Management of patients taking anticoagulants and platelet inhibitors prior to dermatologic surgery. J Dermatol Surg Oncol 19: 578–581

    PubMed  CAS  Google Scholar 

  • Gormley DE (1990) Cutaneous surgery and the pregnant patient. J Am Acad Dermatol 23: 269–279

    Article  PubMed  CAS  Google Scholar 

  • Gross DA (1981) On history-taking before surgery. J Dermatol Surg Oncol 7: 71–72

    PubMed  CAS  Google Scholar 

  • Guyuron B, Vaughan C (1992) A comparison of absorbable and nonabsorbable suture materials for skin repair. Plast Reconstr Surg 89: 234–236

    Article  PubMed  CAS  Google Scholar 

  • Haas AF, Grekin RC (1995) Antibiotic prophylaxis in dermatologic surgery. J Am Acad Dermatol 32: 155–176

    Article  PubMed  CAS  Google Scholar 

  • Haneke E (1984) Indikationsäbwagung bei der operative Therapie benigner Hautveränderungen, In: Konz B, Braun-Falco O (eds) Komplikationen in der operative Dermatologic. Springer, Berlin Heidelberg New York Tokyo, pp 141–146

    Google Scholar 

  • Hitzler W, Bauerfeind U, Schomig-Brekner J, Mathias D (1992) Autologe Transfusion — Organisation und Ergebnisse der praoperativen Eigenblutspende kardiochirurgischer Patienten. Anästhesiol Intensivmed Notfallmed Schmerzther 27: 18–22

    Article  PubMed  CAS  Google Scholar 

  • Jansen GT (1994) Dermatologic surgery. Its influence on dermatology. Arch Derrnatol 130: 1122–1124

    Article  CAS  Google Scholar 

  • Keating HJ (1987) Preoperative considerations in the geriatric patient. Med Clin North Am 71: 569–583

    PubMed  Google Scholar 

  • Kleine-Natrop HE, Sebastian G (1979) Transplantationsvorbereitung alter Geschwüre und frischer Verbrennungswunden mit synthetischem Hautersatz. Dermatol Monatsschr 165: 331–336

    PubMed  CAS  Google Scholar 

  • Krieger G (1984) Komplikationen beim operativen Eingriff — Iuristische Aspekte. In: Konz B, Braun-Falco O (eds) Komplikationen in der operativen Dermatologic. Springer, Berlin Heidelberg New York Tokyo, pp 61–66

    Google Scholar 

  • Krieger G (1989) Juristische Fragen zur Operationsplanung. In: Breuninger H, Rassner G. (eds) Operationsplanungund Erfolgskontrolle. Springer, Berlin Heidelberg NewYork Tokyo (Fortschritte der operativen Dermatologic, vol 5), pp 9–18

    Google Scholar 

  • Lerner SP (1985) The modified skin hook: a new instrument in cutaneous surgery. J Dermatol Surg Oncol 11: 586–588

    PubMed  CAS  Google Scholar 

  • Leshin B, Hess SP, White WL, Matthews BL, Koufman JA (1991) Unusual auricular complications in cutaneousoncology. J Dermatol Surg Oncol 17: 891–896

    PubMed  CAS  Google Scholar 

  • Leshin B, Whitaker DC, Swanson NA (1988) An approach to patient assessment and preparation in cutaneous oncology. J Am Acad Dermatol 19: 1081–1088

    Article  PubMed  CAS  Google Scholar 

  • Macpherson DS (1993) Preoperative laboratory testing: should any tests be “routine” before surgery? Med Clin North Am 77: 289–308

    PubMed  CAS  Google Scholar 

  • Mansikka M, Kanto J, Kangas L, Allonen H (1979) Oral oxazepam as a premedicant in minor surgery. Anaesthesist 28: 36–38

    PubMed  CAS  Google Scholar 

  • Meirson D, Goldberg LH (1993) The influence of age and patient positioning on skin tension lines. J Dermatol Surg Oncol 19: 39–43

    PubMed  CAS  Google Scholar 

  • Merli GJ, Martinez J (1987) Prophylaxis for deep vein thrombosis and pulmonary embolism in the surgical patient. Med Clin North Am 71: 377–397

    PubMed  CAS  Google Scholar 

  • NIH Consensus Development Conference (1992) Diagnosis and treatment of early melanoma. Consens Statement 10: 1–25

    Google Scholar 

  • Orfanos CE, lung EG, Rassner G, Wolff HH, Garbe C (1994) Stellungnahme und Empfehlungen der Kommission malignes Melanom der Deutschen Dermatologischen Gesellschaft zur Diagnostik, Behandlung und Nachsorge des malignen Melanoms der Haut. Hautarzt 45: 285–291

    Article  PubMed  CAS  Google Scholar 

  • Periti P, Mazzei T (1987) Principles of antimicrobial chemoprophylaxis in surgery. Chemioterapia 6: 196–201

    PubMed  CAS  Google Scholar 

  • Petres J, Hundeiker M (1978) Dermatosurgery. Springer, Berlin Heidelberg New York

    Google Scholar 

  • Petres J, Rompel R (1993) Operative Dermatologic — heute. Med Report 17: 9

    Google Scholar 

  • Petres J, Rompel R (1993) Operative Therapie des Basalioms — Erfahrungen und Ergebnisse. In: Petres J, Lohrisch I. (eds) Das Basaliom. Springer, Berlin Heidelberg New York Tokyo, pp 133–144

    Google Scholar 

  • Petres J, Rompel R (1994) Stellenwert der operativen Dermatologic in Klinik und Praxis. Hautarzt 45: 133–139

    Article  PubMed  CAS  Google Scholar 

  • Petres J, Rompel R (1994) Surgical treatment of primary malignant melanoma. J Cancer Res Clin Oncol 120 [Suppl]: R129

    Google Scholar 

  • Petres J, Rompel R (1995) Aktueller Stand und Perspektiven der operativen Dermatologic. In: Winter H, Bellmann KP (eds) Operative Dermatologic — Standortbestimmung. Springer, Berlin Heidelberg New York Tokyo (Fortschritte der operativen Dermatologic, vol 9), pp 3–8

    Google Scholar 

  • Petres J, Rompel R (1995) Möglichkeiten und Grenzen derklinischen Dermatochirurgie. In: Winter H, Bellmann KP (eds) Operative Dermatologic — Standortbestimmung. Springer, Berlin Heidelberg New York Tokyo (Fortschritte der operativen Dermatologic, vol 9), pp123–128

    Google Scholar 

  • Rompel R, Petres J (1994) Maligne Tumoren der Altershaut. In: Platt D, Friederich HC (eds) Dermatologic. Fischer, Stuttgart (Handbuch der Gerontologie, vol 7), pp 237–278

    Google Scholar 

  • Rompel R, Pfeiffer M, Petres J (1993) Praoperative Ultraschalldiagnostik beim malignen Melanom. Hautnah derm 4: 318–328

    Google Scholar 

  • Sebben JE (1985) Prophylactic antibiotics in cutaneous surgery. J Dermatol Surg Oncol 11: 901–906

    PubMed  CAS  Google Scholar 

  • Sebben JE (1988) Sterile technique and the prevention of wound infection in office surgery — Part I. J Dermatol Surg Oncol 14: 1364–1371

    PubMed  CAS  Google Scholar 

  • Sebben JE (1989) Sterile technique and the prevention of wound infection in office surgery — Part II. J Dermatol Surg Oncol 15: 38–48

    PubMed  CAS  Google Scholar 

  • Silverman MK, Kopf AW, Grin CM, Bart RS, Levenstein MJ (1991) Recurrence rates of treated basal cell carcinomas. Part 1: Overview. J Dermatol Surg Oncol 17: 713–718

    PubMed  CAS  Google Scholar 

  • Valentin J, Leonhardt D, Perrin M (1988) Prevention of venous thromboses and cutaneous necroses using physical methods and pressure therapy in the surgery of chronic venous insufficiency of the lower limbs. Phlebologie 41: 690–696

    PubMed  CAS  Google Scholar 

  • Wagner JD, Moore DL (1991) Preoperative laboratory testing for the oral and maxillofacial surgery patient. J Oral Maxillofac Surg 49: 177–182

    Article  PubMed  CAS  Google Scholar 

  • Wagner RF Jr (1994) Informed consent and risk management issues in cutaneous surgery. In: Wheeland RG (ed) Cutaneous surgery. Saunders, Philadelphia, pp 26–31

    Google Scholar 

  • Weber PJ, Weber M, Dzubow LM (1989) Sedation for dermatologic surgery. J Am Acad Dermatol 20: 815–826

    Article  PubMed  CAS  Google Scholar 

  • Wheeland RG (1994) Cutaneous surgery. Saunders, Philadelphia

    Google Scholar 

  • Williams PB, Hankins DB, Layton CT (1994) Long-term pretreatment with pentoxifylline increases random skin flap survival. Arch Otolaryngol Head Neck Surg 120: 65–71

    PubMed  CAS  Google Scholar 

  • Zobe A (1988) Praoperative Sedierung. In: Haneke E (ed) Gegenwartiger Stand der operativen Dermatologic. Springer, Berlin Heidelberg New York Tokyo (Fortschritte der operativen Dermatologic, vol 4, pp 47–50)

    Google Scholar 

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Authors and Affiliations

  1. Hautklinik der Städtischen Kliniken, Kassel, Mönchebergstraße 41–43, D-34125, Kassel, Germany

    Prof. Dr. med. Johannes Petres

  2. Hautklinik der Städtischen Kliniken, Kassel, Mönchebergstraße 41–43, D-34125, Kassel, Germany

    Dr. med. Rainer Rompel

  3. Dept. Mohs Micrographic Surgery, University Hospital New York, 530 First Avenue, NY 10016, New York, USA

    Dr. Perry Robins

Authors
  1. Prof. Dr. med. Johannes Petres
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  2. Dr. med. Rainer Rompel
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  3. Dr. Perry Robins
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© 1996 Springer-Verlag Berlin Heidelberg

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Petres, J., Rompel, R., Robins, P. (1996). Preoperative Measures. In: Dermatologic Surgery. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-60992-3_1

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  • DOI: https://doi.org/10.1007/978-3-642-60992-3_1

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-64646-1

  • Online ISBN: 978-3-642-60992-3

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