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Dermatologic Surgery Made Easy Virendra N Sehgal, Govind Srivastava

CHAPTER 1:Cryosurgery
- INTRODUCTION
- HISTORY
- TERMINOLOGY
- CRYOGENS
  - Effects of Cooling
  - Factors Affecting Destruction
- CRYOSURGICAL EQUIPMENTS
- CRYOTHERAPY: STEP BY STEP (USING LIQUID NITROGEN)
- CRYOSURGERY METHODS
- INTRALESIONAL CRYOSURGERY
- SPECIAL ISSUES
CHAPTER 2:Skin Peels
- INTRODUCTION
- CLASSIFICATION OF PEELING AGENTS
- FACTORS AFFECTING THE DEPTH OF THE PEEL
- COMMONLY USED PEELING AGENTS FOR THE ASIAN SKIN
- STEP BY STEP DETAILS OF SUPERFICIAL SKIN PEEL
- CONCLUSION
CHAPTER 3:Vitiligo Surgery: An Overview
- INTRODUCTION
- SURGICAL MODALITIES FOR VITILIGO
- TATTOOING1–5
- THIN THIERSCH'S SPLIT THICKNESS SKIN GRAFTING6, 7
- PUNCH GRAFTING8,9
- THERAPEUTIC WOUNDING10,11
- ULTRATHIN SKIN GRAFTING (UTSG)12,13 (Melanocyte Transplant/transfer)
- SURGICAL THERAPIES: WHEN AND HOW?
- SAFETY
CHAPTER 4:Punch Grafting
- INTRODUCTION
- CONTRAINDICATION
  - Patient Selection
  - Test Grafting
- INITIAL ASSESSMENT
- HOW TO DO IT? STEP-BY-STEP DETAILS
- CONCLUSIONS
CHAPTER 5:Punch Grafting in Vitiligo
- INTRODUCTION
CHAPTER 6:Suction Blister Grafting
- INTRODUCTION
- EQUIPMENTS
- INDICATIONS
- PROCEDURE
  - Modification
    - Recipient Area
  - Modifications
- TRANSFER OF THE GRAFT
CHAPTER 7:Tattoo Removal with Punch Graft Exchange Technique
- INTRODUCTION
- INDICATIONS
  - Procedure
- SUMMARY
CHAPTER 8:Microcannular Tumescent Liposuction
- INTRODUCTION
- STRUCTURE OF FAT3–6
- HISTORY OF LIPOSUCTION7
- SUMMARY: THE “ART OF LIPOSUCTION”
CHAPTER 9:Dermal Fillers
- INTRODUCTION
- INFRA-STRUCTURAL FACILITIES
- RESULTS/CONCLUSION
CHAPTER 10:Botulinum
- INTRODUCTION
- DILUTION AND STORAGE
- BOTOX FOR WRINKLES
- HYPERHIDROSIS
CHAPTER 11:Dermabrasion
- INTRODUCTION
- DEFINITION
- HISTORY1,5
- BASIC PRINCIPLES1,5
- PRE-OPERATIVE PREPARATION
- CONCLUSION
CHAPTER 12:Scar Revision
- INTRODUCTION
- AIM OF SCAR REVISION
- COUNSELING
- TECHNIQUES OF SCAR REVISION
  - Invasive
  - Minimally Invasive
- EXCISIONAL TECHNIQUES2–4
  - Shave Excision or Surgical Planning
    - Indications
    - Method
  - Fusiform or Elliptical Excision (Figs 12.1 to 12.4)
    - Indications
    - Method
  - Serial partial Excision (Figs 12.6 to 12.8)
    - Indications
    - Method
- SCAR IR-REGULARIZATION
  - Z-Plasty (Fig. 12.9)
    - Indications
    - Method
  - W-Plasty (Fig. 12.10A)
    - Indications
    - Method
  - Geometric Broken Line Closure (GBLC) (Figs 12.10B and 12.11A and B)
    - Indications
    - Method
  - Dermabrasion5–6
  - Complications
    - Immediate
- CONCLUSION
- LASER REVISION OF SCARS7
- CONCLUSION
- CHEMICAL PEELING10
  - Chemical Agents Commonly used for Peeling
- CONCLUSION
- ACNE AND PITTED SCAR REVISION11–14
  - Introduction
  - Type of Acne Scars
  - Counseling
  - Methods of Treatment
  - Priming
    - Method (Figs 12.16 to 12.22)
  - Newer Treatments
- CONCLUSION
- CRYOTHERAPY15
  - Equipment
  - Methods
  - Sequelae and Complications
- CONCLUSION
- HYPERTROPHIC SCARS AND KELOIDS17,18
  - Techniques
- SILICONE GEL SHEET (FIG. 12.26)
- IONIZING RADIATION
- SURGERY
  - Contractures
  - Skin Graft or Skin Flap
  - Z-plasty
  - Tissue Expansion
  - Newer Treatment Modalities
  - Indications
  - Contraindications
  - Limitations
  - Method (For Collagen and Synthetic implants) (Figs 12.27 and 12.28)
  - Complications
- AUTOLOGOUS FAT IMPLANTATION (FIG. 12.29)
  - Indications
  - Contraindications
  - Limitations
  - Method
  - Complications
  - Autologous Collagen Implant
- CONCLUSION
- HOW TO PREVENT UNSATISFACTORY SCARRING?25
  - A. Planning
  - B. Surgical Techniques
  - C. Wound Care
  - D. Early Management of Complications
- CONCLUSION
CHAPTER 13:Basics of Laser-Assisted Hair Removal
- INTRODUCTION
- PRINCIPLES OF LASER-ASSISTED HAIR REMOVAL
- PERMANENT HAIR REDUCTION
- LASER EQUIPMENT FOR HAIR REMOVAL
  - Procedure of Laser Assisted Hair Removal
CHAPTER 14:Laser Hair Removal
- INTRODUCTION
- SELECTIVE PHOTOTHERMOLYSIS
- CONCLUSIONS
CHAPTER 15:Q-Switched Nd: YAG Laser for Nevus of Ota, Tattoo Removal
- INTRODUCTION
- THE MEDLITE C3 Q-SWITCHED ND: YAG LASER
- IMMEDIATE RESPONSE
- IMMEDIATE FROSTING AFTER LASER
  - Nevus of Ota
- PATIENT 1
- PATIENT 2
- PATIENT 3
- PATIENT 4
- TATTOO REMOVAL
- PATIENT 1
- PATIENT 2
- PATIENT 3
- POST LASER INSTRUCTIONS
- COMPLICATION AND ADVERSE EFFECTS7
- CONCLUSION
CHAPTER 16:Follicular Unit Hair Transplant
- INTRODUCTION
- INFRASTRUCTURAL FACILITIES
- GRAFT DISSECTION
- RECIPIENT SITE
- GRAFT INSERTION
- POSTOPERATIVE CARE
- COMPLICATIONS
- CONCLUSION
CHAPTER 17:Management of Ingrowing Toenail
- EPIDEMIOLOGY
- ETIOLOGY
- STAGING
- CONSERVATIVE MANAGEMENT OF INGROWN TOENAIL
- NAIL SPLINTING WITH A FLEXIBLE TUBE
  - Procedure
- NAILPLATE AVULSION WITH OR WITHOUT PHENOLIZATION
- PARTIAL NAIL AVULSION WITH NAIL MATRIX PHENOLIZATION
  - Procedure
  - Advantages
- PARTIAL NAIL AVULSION AND MATRIXECTOMY (LASER)
  - Procedure
- PARTIAL NAIL MATRIXECTOMY USING CO2 LASER (MODIFIED)
- CONCLUSION
CHAPTER 18:Partial Nail Avulsion with Nail Matrix Phenolization
- PARTIAL NAIL AVULSION AND MATRIXECTOMY (LASER)
  - Procedure
  - Procedure
- PARTIAL NAIL MATRIXECTOMY USING CO2 LASER (MODIFIED)8
  - Disadvantage
  - Procedure
CHAPTER 19:Lateral Matrix Phenolization for Ingrowing Toenail
- INTRODUCTION
- EQUIPMENTS (FIG. 19.2)
CHAPTER 20:CO2 Laser in Dermatology and Aesthetic Surgery
- INTRODUCTION
- BASICS IN LASER THERAPY
- INDICATIONS
- OPERATING PROCEDURE
- LASER PROCEDURE
- POSTOPERATIVE PRECAUTIONS
- COMPLICATIONS
- THE CURRENT SCENARIO OF THE CO2 LASER IN DERMATOLOGY
CHAPTER 21:Intralesional Therapy in Dermatology
- INTRODUCTION
- INTRALESIONAL CORTICOSTEROIDS
- INTRALESIONAL 5-FLUOROURACIL
- INTRALESIONAL BLEOMYCIN
- INTRALESIONAL SODIUM STIBOGLUCONATE
  - Mode of Administration
  - Side Effects
- INTRALESIONAL IMMUNOTHERAPY
- INTRALESIONAL 5-AMINILEVULINIC ACID (5-ALA)12
CHAPTER 22:Non-healing Wound: A Dermatologist's Perspective
- INTRODUCTION
- ETIOPATHOGENESIS OF NON-HEALING WOUND
- STEP-WISE APPROACH TO NON-SPECIFIC NON-HEALING WOUND
CHAPTER 23:The Art of Roller Bandaging
- DRESSING
- SOME PECULIAR SITES
- SOME BASIC RULES ABOUT BANDAGING
CHAPTER 24:Follicular Unit Hair Transplantation
- HISTORY AND EVOLUTION OF HAIR TRANSPLANTATION
- POSTOPERATIVE COMPLICATIONS
- SUMMARY
CHAPTER 25:Photo (Chemo) Therapy: Principles and Indications
- HISTORICAL ASPECTS
- PHOTO-CHEMOTHERAPY (PUVA)
- PUVA THERAPY (SYSTEMIC): TREATMENT PROTOCOL AND GUIDELINES FOR PSORIASIS
- PUVA THERAPY (SYSTEMIC): TREATMENT PROTOCOL AND GUIDELINES FOR VITILIGO
- PUVA THERAPY (TOPICAL): TREATMENT PROTOCOL AND GUIDELINES FOR VITILIGO
- PUVA THERAPY (TOPICAL): TREATMENT PROTOCOL AND GUIDELINES FOR PSORIASIS
- OTHER INDICATIONS FOR TOPICAL (HAND AND FOOT)
  - Pretreatment Assessment
- BATH-PUVA
- NARROW BAND UVB (NBUVB) THERAPY
- VITILIGO
- PSORIASIS
- ATOPIC DERMATITIS
- PHOTO-DERMATOSES
- COMBINATION THERAPY
- EVIDENCE-BASED CURRENT USE
- LONG-TERM USE AND ADVERSE EFFECTS
- CONCLUSIONS
CHAPTER 26:Skin and Nail Biopsy
- SHAVE BIOPSY
  - Step 1: Preoperative Considerations and Preparation
  - Step 2: Procedure
- PUNCH BIOPSY
  - Step I: Preoperative Considerations and Preparation
  - Step II: The Procedure
- INCISIONAL AND EXCISIONAL BIOPSIES (ELLIPTICAL BIOPSIES)
  - Step 1: Preparative Considerations and Preparation
  - Step 2: Procedure
- OTHER TYPES OF SKIN BIOPSY
- COMPLICATIONS OF SKIN BIOPSY
- MUCOSAL BIOPSY
  - Indications
- NAIL BIOPSY
  - Indications
  - Contraindications
- NAILBED BIOPSY
- NAIL MATRIX BIOPSY
  - Step 1 and step 2
  - Step 3
- ENBLOC NAIL UNIT BIOPSY (BIOPSY OF THE ENTIRE NAIL UNIT)
CHAPTER 27:The Integumentary System
- SKIN
  - Functions of Skin
- THE NAILS
- THE HAIRS
- SEBACEOUS GLANDS
- BLOOD VESSELS
- NERVES
  - Regional Differences in Skin
  - Microanatomy of Skin
- EMBRYOLOGY
CHAPTER 28:Laser Hair Removal
- PRINCIPLE
- HAIR CYCLE
- TYPES OF LASERS
- DIODE
- 694 NM RUBY LASERS
- 755 NM ALEXANDRITE LASERS
- EXOGENOUS CHROMOPHORE
- ND: YAG
- PATIENT SELECTION
CHAPTER 29:Electrosurgery with Radio-Frequency Current)
- HISTORY
- ELECTROSURGERY
- RADIOFREQUENCY
CHAPTER 30:Iontophoresis
- INTRODUCTION
- PRINCIPLE
- IONTOPHORESIS MECHANISM AND DEVICES Fig. 30.1)
- CONCLUSIONS
CHAPTER 31:Laser Treatment for Pigmented Lesions
- ND: YAG LASER
- CONCLUSION
CHAPTER 32:Laser Treatment for Vascular Lesions
- BASICS OF LASER
- DOSIMETRY AND LASER CHARACTERISTICS
- LASER TISSUE INTERACTION
- PULSED VERSUS CONTINUOUS WAVE LASERS
- COMMON VASCULAR LESIONS AMENABLE TO LASER TREATMENT (TABLE 32.2)
  - Port-wine Stains
- HEMANGIOMAS
- TELANGIECTASES
- PYOGENIC GRANULOMA
- ANGIOFIBROMAS
  - Clinical Technique
  - Complications

INDEX

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Chapter Notes