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Chapter-24 Complications

BOOK TITLE: Reconstructive Dermatologic Surgery

Author
1. Cressey Brienne
2. Alam Murad
3. Minkis Kira
ISBN
9789351529415
DOI
10.5005/jp/books/14126_25
Edition
1/e
Publishing Year
2018
Pages
18
Author Affiliations
1. New York Presbyterian, Hospital Weill Cornell, New York, NY, USA
2. Otolaryngology and Surgery, Northwestern University, Chicago, IL, USA, Northwestern University Feinberg School of Medicine, Chicago, IL, USA, Northwestern University, Chicago, IL, USA
3. Weill Cornell Medical College, New York, NY, USA
Chapter keywords
Local anesthesia, lidocaine toxicity, infectious complication, antibiotics prophylaxis, wound healing, tissue ischemia, dermatologic surgery

Abstract

This chapter will focus on the complications of dermatologic surgery, ways to anticipate and mitigate them, and what to do when complications inevitably occur. A complication in dermatologic surgery is defined as any deviation from the expected course of a surgical procedure. The favorable safety profile of dermatologic surgery is well established, with overall low morbidity and mortality. Although there is some paucity of data on the exact incidence of some specific complications within dermatologic surgery, in general, the existent data as well as most experts agree on low incidence of complications in cutaneous surgery. Studies have found complications rates to be 1.6–6.0%. These include minor complications such as minor bleeding, vasovagal syncope, local infection, and very rarely major complications such as major bleeding, anaphylaxis, and systemic infection. These complications can be a direct result of surgery or related to a side effect of a medication prescribed in the preoperative or postoperative period. Despite the low incidence of complications, the dermatologic surgeon should anticipate potential pitfalls before, during, and after surgery.

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