RT Book, Section
A1 Crispin, Milène K.
A1 Cabral, Erik S.
A1 Aasi, Sumaira Z.
A2 Avram, Marc R.
A2 Avram, Mathew M.
A2 Ratner, Désirée
SR Print(0)
ID 1175094245
T1 Surgical Complications and Their Management
T2 Procedural Dermatology
YR 2015
FD 2015
PB McGraw-Hill Education
PP New York, NY
SN 9780071795067
LK dermatology.mhmedical.com/content.aspx?aid=1175094245
RD 2024/04/25
AB Complications,  defined  as  any  adverse  and  unexpected  events,  are  inevitable  in  surgery.  The  recent  increase  in  the  number  of  outpatient  surgical  procedures  has  led  to  a  critical  appraisal  of  its  safety.  Yet  several  studies  have  demonstrated  the  overwhelming  safety  of  dermatologic  surgery.1,2  In  a  10  year  prospective  study  of  office-based  surgeries  in  Florida,  where  there  is  mandatory  reporting  of  surgical  complications,  there  were  309  reported  adverse  incidents,  out  of  which  dermatologists  accounted  for  just  1.3%  of  all  complications  (no  deaths).3  The  first  comprehensive  prospective  study  documenting  the  relative  incidence  of  postoperative  complications  in  dermatologic  surgery,  specifically  Mohs  surgery,  found  the  overall  incidence  to  be  1.6%.4  In  a  recent  multicenter  prospective  study  of  20,821  Mohs  procedures,  there  were  149  adverse  events  (0.72%),  including  four  serious  events  (0.02%),  and  no  deaths  reported.5  The  most  common  adverse  events  were  infections  (61.1%),  dehiscence  and  partial  or  full  necrosis  (20.1%),  and  bleeding  and  hematoma  (15.4%).  This  chapter  will  review  some  common  complications  associated  with  dermatologic  surgery  and  provide  strategies  for  the  prevention,  assessment,  and  management  of  these  complications.