ABSTRACT
En el presente artículo de la serie «Seguridad en procedimientos dermatológicos» se aborda la sección quirúrgica accidental de grandes vasos sanguíneos y estructuras nerviosas. Se aborda, en primer lugar, la localización anatómica y recorrido de las distintas estructuras vasculares y nerviosas de más riesgo. A continuación, se explican las consecuencias de dicha lesión. Por último, se emiten algunas recomendaciones para evitar el daño accidental de las estructuras en dichas áreas de riesgo y se plantean algunas maniobras terapéuticas de reparación ante un eventual daño (AU)
This article in the series «Safety in Dermatologic Procedures» deals with the accidental laceration of major blood vessels and nerve structures during surgery. We first look at the anatomic location and course of the blood vessels and nerve structures that are most at risk of injury and then describe the possible outcomes in each case. We finally offer some recommendations on how to avoid damage to structures in danger zones and how to repair them if they are accidentally compromised (AU)
Subject(s)
Humans , Blood Vessels/injuries , Peripheral Nerve Injuries/etiology , Risk FactorsABSTRACT
This article in the series «Safety in Dermatologic Procedures» deals with the accidental laceration of major blood vessels and nerve structures during surgery. We first look at the anatomic location and course of the blood vessels and nerve structures that are most at risk of injury and then describe the possible outcomes in each case. We finally offer some recommendations on how to avoid damage to structures in danger zones and how to repair them if they are accidentally compromised (AU)
En el presente artículo de la serie «Seguridad en procedimientos dermatológicos» se aborda la sección quirúrgica accidental de grandes vasos sanguíneos y estructuras nerviosas. Se aborda, en primer lugar, la localización anatómica y recorrido de las distintas estructuras vasculares y nerviosas de más riesgo. A continuación, se explican las consecuencias de dicha lesión. Por último, se emiten algunas recomendaciones para evitar el daño accidental de las estructuras en dichas áreas de riesgo y se plantean algunas maniobras terapéuticas de reparación ante un eventual daño (AU)
Subject(s)
Humans , Blood Vessels/injuries , Peripheral Nerve Injuries/etiology , Risk FactorsABSTRACT
This article in the series «Safety in Dermatologic Procedures¼ deals with the accidental laceration of major blood vessels and nerve structures during surgery. We first look at the anatomic location and course of the blood vessels and nerve structures that are most at risk of injury and then describe the possible outcomes in each case. We finally offer some recommendations on how to avoid damage to structures in danger zones and how to repair them if they are accidentally compromised.
Subject(s)
Accidental Injuries , Dermatologic Surgical Procedures , Iatrogenic Disease , Humans , Dermatologic Surgical Procedures/adverse effectsABSTRACT
Las complicaciones por hemorragia quirúrgica en la cirugía dermatológica son infrecuentes y poco relevantes en la mayoría de los casos. En algunas ocasiones la hemorragia quirúrgica puede conllevar infección de la herida quirúrgica, dehiscencia de sutura o necrosis del colgajo/injerto. En esta revisión se muestran los aspectos más importantes para prevenir, reconocer y tratar este tipo de complicaciones durante el acto quirúrgico y tras él (AU)
Bleeding complications during dermatologic surgery are uncommon and usually minor, but bleeding occasionally leads to infection, wound dehiscence, or flap/graft necrosis. This review covers the keys to preventing, recognizing, and treating excessive bleeding during and after surgery (AU)
Subject(s)
Humans , Skin Diseases/surgery , Postoperative Hemorrhage/prevention & control , Surgical Wound Dehiscence/prevention & control , Anticoagulants/administration & dosage , Necrosis/prevention & controlABSTRACT
Bleeding complications during dermatologic surgery are uncommon and usually minor, but bleeding occasionally leads to infection, wound dehiscence, or flap/graft necrosis. This review covers the keys to preventing, recognizing, and treating excessive bleeding during and after surgery (AU)
Las complicaciones por hemorragia quirúrgica en la cirugía dermatológica son infrecuentes y poco relevantes en la mayoría de los casos. En algunas ocasiones la hemorragia quirúrgica puede conllevar infección de la herida quirúrgica, dehiscencia de sutura o necrosis del colgajo/injerto. En esta revisión se muestran los aspectos más importantes para prevenir, reconocer y tratar este tipo de complicaciones durante el acto quirúrgico y tras él (AU)
Subject(s)
Humans , Skin Diseases/surgery , Postoperative Hemorrhage/prevention & control , Surgical Wound Dehiscence/prevention & control , Anticoagulants/administration & dosage , Necrosis/prevention & controlABSTRACT
Bleeding complications during dermatologic surgery are uncommon and usually minor, but bleeding occasionally leads to infection, wound dehiscence, or flap/graft necrosis. This review covers the keys to preventing, recognizing, and treating excessive bleeding during and after surgery.
Subject(s)
Humans , Male , Aged, 80 and over , Carcinoma, Squamous Cell/surgery , Skin Neoplasms/surgery , Surgical Flaps , WristABSTRACT
Reconstruction of the tip of the nose following the excision of skin cancer is a cosmetic and surgical challenge. We propose using a crescentic nasojugal flap, also known as a perialar crescentic advancement flap, to repair such defects. We present a series of 13 cases in which cutaneous carcinoma (mostly basal cell carcinoma) was excised from the lateral nasal tip with clear margins and the defect repaired with a crescentic nasojugal flap. The technique was successful in all cases. None of the patients developed notable surgical complications and the postoperative outcomes were satisfactory, with no significant functional or cosmetic problems. The crescentic nasojugal flap is therefore a good option for repairing medium-sized defects on the tip of the nose.
Subject(s)
Carcinoma, Basal Cell , Nose Neoplasms , Skin Neoplasms , Carcinoma, Basal Cell/surgery , Humans , Nose/surgery , Nose Neoplasms/surgery , Skin Neoplasms/surgery , Surgical FlapsABSTRACT
We present the case of a 29-year-old woman who has had a widespread epidermal naevus since birth, located on the left side of her body, upon which multiple trichilemmal cysts developed several years later. The karyotype of peripheral blood lymphocytes revealed chromosomal mosaicism 46, XX, t (1;9) (p36:q34). The possible pathogenic mechanisms include paracrinopathy, germinal or somatic mutation in the multipotential embryo cells, or a combination of the two.
