Manual of Skin Surgery: A Practical Guide to Dermatologic Procedures
Since the first edition of Manual of Skin Surgery, interest in therapeutic and cosmetic skin surgery has grown enormously. Diagnosis and management of skin cancer has expanded with the incidence of the disease in the population.
Care of skin disease is not limited to dermatologists but of necessity is practiced by a range of
physicians and care providers: family practice doctors, internists, plastic surgeons, general surgeons, and others. One important change in the delivery of clinical care has been the increasing role of physician assistants and associates in the office practice of dermatology and related fields. The information in this book should be of interest to this expanding and important group of care providers.
Manual of Skin Surgery offers a clear, step-by-step introduction to the fundamentals of dermatologic surgery – from anatomy and diagnosis to preoperative preparation and assessment, operative technique, and postoperative care. This book combines thorough coverage of the most commonly performed procedures with special topics such as the workup and management of melanoma and the indications for Mohs surgery. The information on dermatologic procedures is presented in an easy-to-use fashion that will be of great practical value to students and clinicians, regardless of specialty.
Preface to the Second Edition
Preface to the First Edition
Chapter 1. Introduction
Chapter 2. Diagnosis
Defining the Lesion
Studying the Lesion
Common Skin Lesions
Chapter 3. Practical Anatomy
Relaxed Skin Tension Lines
Regional Considerations
Superficial Anatomy
Chapter 4. Wound Healing
Phases
Chapter 5. Skin Biopsy
Incisional versus Excisional Biopsy
Shave Biopsy
Curette Biopsy
Scissors Biopsy
Punch Biopsy
Excisional Biopsy Technique
Special Considerations
Biopsy Record Keeping
Chapter 6. Local Anesthesia
Chemistry and Classification
Local Additives
Allergic Reactions
Adverse Effects and Drug Interactions
Local Anesthesia Technique
Topical Anesthesia
Tumescent Anesthesia
Chapter 7. Surgical Instruments
Scalpels
Needle Holders
Forceps
Skin Hooks
Hemostats
Scissors
Curette
Miscellaneous Instruments
Instrument Care
The Surgical Suite
Chapter 8. Wound Closure Materials
Absorbable Sutures
Nonabsorbable Sutures
Needles
Staples
Chapter 9. Patient Preparation
Indications
Medical History
Patient Evaluation
Prophylaxis
Pacemakers
Blood Thinners
Dressings
Chapter 10. Basic Excisional Surgery
Planning the Excision
Marking the Lesion
The Ellipse
Anesthesia
Drape and Preparation
Procedure
Wound Closure
Lazy S Repair
Chapter 11. Surgical Complications
Bleeding
Infection
Necrosis
Dehiscence
Other Postoperative Problems
Chapter 12. Special Topics in Dermatologic Surgery
Melanoma
Lentigo Maligna
Nevi
Skin Cancer
Mohs Surgery
Cysts
Keloids and Scars
Lipomas
When to Refer
Chapter 13. Risk Management
Informed Consent
Documentation
Confidentiality
Appendix I Action Guides
Skin Biopsy
Pigmented Lesions
Basal Cell Cancer
Squamous Cell Cancer
Complications
Appendix II. Vendors for the Dermatologic Surgery Suite
Index