Surgery of the Skin

View

Surgery of the Skin

CRYOTHERAPY: minus 40û Centigrade for 30 seconds with LN₂

wart, keratoses

not suitable for tissue requiring histopathologic exam

ELECTROCAUTERY: Electrodesiccation

Electrofulguration

Electrocauterization

Hemostasis

Superficial lesions, except warts; telangiectases

CURETTAGE; wart, keratoses

Basal Cell Carcinoma--E&C Electrodesiccation and curettage

SCALPEL SURGERY; "cold steel" surgery

Elliptical excision --3 times the width of lesion

Anesthesia-- 1% xylocaine w/ or w/o epinephrine

Benadryl injectable

Saline

Closure

primary--subcuticular sutures for hemostasis and tension placement

Secondary--packing

Granulation

Flaps and grafts--large wounds, cosmesis, function

LASER SURGERY; argon--vascular tumors

CO₂--warts, condyloma

Neodymium: YAG

Tunable dyes--vascular, pigmented, and other solid tumors

MOH'S (CHEMO) SURGERY: recurrent malignant tumors

Affords potential best cosmetic result

SKIN BIOPSY: punch

shave