RT Book, Section
A1 Haimovic, Adele
A1 Sheehan, Jessica M.
A1 Rohrer, Thomas E.
A2 Kang, Sewon
A2 Amagai, Masayuki
A2 Bruckner, Anna L.
A2 Enk, Alexander H.
A2 Margolis, David J.
A2 McMichael, Amy J.
A2 Orringer, Jeffrey S.
SR Print(0)
ID 1161346871
T1 Excisional Surgery and Repair, Flaps, and Grafts
T2 Fitzpatrick's Dermatology, 9e
YR 2019
FD 2019
PB McGraw-Hill Education
PP New York, NY
SN 9780071837798
LK dermatology.mhmedical.com/content.aspx?aid=1161346871
RD 2024/04/23
AB AT-A-GLANCEExcisional  surgery  is  one  of  the  most  common  surgical  procedures  in  dermatology.The  goal  of  excisional  surgery  is  to  remove  the  lesion  with  appropriate  margins  and  obtain  the  best  cosmetic  result.The  planning  and  execution  of  dermatologic  surgery  procedures  must  balance  risk  and  benefit  and  consider  all  options  to  achieve  an  optimal  outcome.  Wounds  should  be  closed  under  minimal  tension,  with  scars  placed  along  cosmetic  unit  junctions  or  skin  tension  lines,  contained  within  as  few  single  cosmetic  units  as  possible,  without  distorting  critical  anatomic  structures  and  landmarks.The  closure  must  preserve  sensory  and  motor  nerve  function.An  elliptical  or  fusiform  excision  is  the  fundamental  procedure  in  dermatologic  surgery  and  typically  allows  for  a  linear,  side-to-side  closure.Flap  or  graft  repair  may  be  considered  when  linear  closure  is  not  feasible.Flaps  are  commonly  classified  according  to  their  primary  movement  as  advancement,  rotation,  transposition,  or  interpolation.The  3  basic  types  of  skin  grafts  are  full-thickness,  split-thickness,  and  composite.