Dermatologic Surgery Tips and Techniques book cover

Dermatologic Surgery Tips and Techniques

This new reference covers the top 100 pearls in cutaneous oncologic, nail and cosmetic dermatologic surgery, giving you at-a-glance access to some of the best know-how in the field. Organized in a consistent format, and illustrated with full color photographs and explanatory line drawings, this is the perfect tool to help you improve the level of care you offer your patients. Whether you're new to the field or you've been practicing dermatologic surgery for years, you'll consider this book one of your most valuable resources.

Dermatologists, Residents in Dermatology

Hardbound, 204 Pages

Published: February 2007

Imprint: Mosby

ISBN: 978-0-323-03462-3


  • Section 1: Assisting at Surgery

    Pearl 1: Surgical Assistant: Counter-Traction and a Clear Visual Field
    Pearl 2: Placement of the Simple Interrupted Stitch
    Pearl 3: Surgical Assistant: Help with Surface Sutures
    Pearl 4: Surgical Assistant: Twisted Knot and Cutting Suture at Correct Length
    Pearl 5: Surgical Assistant: Help with the Subcuticular Stitch

    Section 2: Suture Techniques

    Pearl 6: How to Break the Memory of Suture Material without Breaking the Suture
    Pearl 7: Hemostasis: Suture Ligature
    Pearl 8: Proper Placement of the 3-Cornered Stitch
    Pearl 9: Delayed Closure of Buried Sutures When Closing Small Excisions
    Pearl 10: Percutaneous Buried Vertical Mattress Suture
    Pearl 11: The Running Locked Suture as an Aid for Hemostasis
    Pearl 12: Maximal Skin Edge Eversion with the Running Hybrid Mattress Suture
    Pearl 13: The Short String Tie off

    Section 3: Closures and Procedures

    Pearl 14: Circular Incisions as a Guide for Optimal Aesthetic Removal
    Pearl 15: The Crescentic Ellipse for Curving Relaxed Skin Tension Lines
    Pearl 16: Serial Excision
    Pearl 17: S-Plasty for Excision on Convex or Concave
    Pearl 18: Pruning the Proud Flesh
    Pearl 19: Hydro-Dissection (Hydroplaning) with Anesthetic Fluid
    Pearl 20: Second Intention Healing Over Bare Cartilage
    Pearl 21: A User-Friendly Surgical Dressing
    Pearl 22: Minimizing the Dogear
    Pearl 23: In Pursuit of the Perfect Punch Biopsy
    Pearl 24: The Split Punch Biopsy: The power of two
    Pearl 25: Saucerization Biopsy
    Pearl 26: “Off-Set Bias Suturing” to Favorably Alter the Tension Vector of Closure
    Pearl 27: Have I Cut the Temporal Nerve or Just Anesthetized It?
    Pearl 28: Electrodesiccation and Curettage for Warts
    Pearl 29: Cysts and Lipomas, Oh My
    Pearl 30: Drainage of Inflamed/Liquefied Cyst
    Pearl 31: Transection of Pigmented Lesion
    Pearl 32: The Retraction Suture for Cyst Removal

    Section 4: Flaps

    Pearl 33: Flap Components
    Pearl 34: The Tension Vector of Closure
    Pearl 35: Tension Vector of Rotation/Advancement Flaps
    Pearl 36: Determining the Final Scar Lines and Tension Vector of the Rhombic Flap
    Pearl 37: The Suspension Suture: Partial Closure of Defect Near Free Margin
    Pearl 38: Contour Maintenance with Suspension Sutures
    Pearl 39: Reconstruction of the Alar-Facial-Lip Sulcus
    Pearl 40: “Mercedes Flap”: Multiple Flap Closure of Large Defects

    Section 5: Grafts

    Pearl 41: Trimming Fat Off of Full-Thickness Skin Grafts
    Pearl 42: Free Hand Harvesting of a Small Split-Thickness Skin Graft
    Pearl 43: Basting Suture for FTSG under Direct Visualization
    Pearl 44: Continuous Tie-Over Bolster Dressings for Skin Grafts
    Pearl 45: M-Plasty FOR Dog Ear
    Pearl 46: Dog-Ear as Graft; Don’t Throw That Tissue Away
    Pearl 47: Dermabrasion for Surgical Scars and Grafts
    Pearl 48: Manual Dermabrasion of Full-Thickness Grafts
    Pearl 49: Post-surgical dermabrasion

    Section 6: Safety

    Pearl 50: Maintaining an Orderly Surgical Tray
    Pearl 51: Surgical Waste Disposal
    Pearl 52: Safety: The Medicine Cup: Behold the Lowly cup
    Pearl 53: Safety: Corneal Eyeshield
    Pearl 54: Safety: The Sheathed Syringe
    Pearl 55: Geometric Pattern Excision for Histological Margin Control of Tumors
    Pearl 56: Control of the Surgical Lamp: In the Best Light
    Pearl 57: Electrosurgical Unit Safety

    Section 7: Instruments

    Pearl 58: Instruments for Special Occasions: The Mini-Scalpel System
    Pearl 59: Razor Blade Surgery for Benign Lesions
    Pearl 60: Razor Blade Excision for Shallow Basal Cell Carcinomas of the Nose
    Pearl 61: Alternate Use of a Forceps: A Freeze With a Squeeze
    Pearl 62: Towel Clamp Assisted Closure for Wounds under Significant Tension
    Pearl 63: The Cotton-Tipped Applicator (CTA): The Ever-Ready, Multi-Purpose Superstar
    Pearl 64: The Tongue Depressor: More than say “Ah” (Sept pearls)
    Pearl 65: The Universal Paper Clip: There’s always one in the desk drawer
    Pearl 66: The Hyfrecator: Low-Tech, Yet Efficient Benign Lesions
    Pearl 67: The Punch Used as a Curette

    Section 8: Nail

    Pearl 68: Nail Matrix Exploration and Retraction Suture for Exposure of the Proximal Nail Groove.
    Pearl 69: Obtaining an Adequate Biopsy of the Nail Matrix/Bed
    Pearl 70: Compressive Dressing for the Nail Unit
    Pearl 71: Use of a Sterile Surgical Glove to Create a Sterile Field
    Pearl 72: The Proximal Nail Plate Avulsion
    Pearl 73: Post-phenol Matricectomy Injection to Prolong Anesthesia and Prevent Lymphangitis
    Pearl 74: Decompression of a Subungual Hematoma

    Section 9: Regional Tips

    Pearl 75: Pinwheel flap for the scalp vertex and direct galeotomy
    Pearl 76: Tips for Scalp Surgery: Keeping Hair Out of the Field
    Pearl 77: Tips for Scalp Surgery: Collodion Dressing
    Pearl 78: Pearls Around the Mouth
    Pearl 79: Suturing on the Lip to Minimize Patient Discomfort
    Pearl 80: Labial Mucocele Removal
    Pearl 81: Dental Roll for Nasal Packing
    Pearl 82: Cotton Plug in the Ear Canal
    Pearl 83: Testing Lower Eyelid Strength
    Pearl 84: Second Intention Healing of Ear Defects


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