Safety of Large Skin Flap, Large Skin Graft, and Interpolation Flap Surgery in the Outpatient Setting | PracticeUpdate

Safety of Large Skin Flap, Large Skin Graft, and Interpolation Flap Surgery in the Outpatient Setting

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Journal Scan / Research · July 11, 2018

Dermatologic Surgery

abstract

Safety of Large Skin Flap, Large Skin Graft, and Interpolation Flap Surgery in the Outpatient Setting

Dermatologic Surgery

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• The authors of this retrospective study determined rates of postoperative bleeding, infection, dehiscence, and necrosis associated with outpatient dermatologic surgery using large flap, large graft, and interpolation flap repairs. Of 331 reconstruction procedures occurring after Mohs micrographic surgery, rates of postoperative infection, hemorrhage, hematoma, necrosis, and dehiscence were 5%, 0.3%, 2.4%, 3%, and 0.9%, respectively.

• Complications after post-Mohs reconstruction procedures were infrequent and non–life threatening, indicating that that dermatologic surgery using large flaps, interpolation flaps, and large grafts are largely safe in the office setting.

  – InYoung Kim, MD, PhD

Abstract

BACKGROUND

As the number of cutaneous surgeries continues to increase, it is important to evaluate the safety of dermatologic surgery in the outpatient setting.

OBJECTIVE

The authors sought to determine postoperative bleeding, infection, dehiscence, and necrosis rates in office-based dermatologic surgery using large flap, large graft, and interpolation flap repairs. The authors evaluated the relationship between these complications and surgical site, closure type, repair size, antibiotic use, and antithrombotic use.

METHODS

Eligible patients were identified through searching the electronic medical records from one Mohs micrographic surgeon at University Hospitals Medical Center. Patient information, surgery characteristics, and complication information were collected. Univariate and multivariate analyses were conducted to reveal associations between each complication and closure type, repair size, repair site, antithrombotic use, and antibiotic use.

RESULTS

Three hundred and thirty-one reconstruction procedures after Mohs micrographic surgery and excision qualified for the study. The rates of postoperative infection, hemorrhage, hematoma, necrosis, and dehiscence were 5%, 0.3%, 2.4%, 3%, and 0.9%, respectively.

CONCLUSION

Complications were infrequent and non-life-threatening. The authors' results indicate that dermatologic surgery using large flaps, interpolation flaps, and large grafts is safe in the office setting.

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Benjamin Hidalgo-Matlock

Skin Care Physicians of Costa Rica

Clinica Victoria en San Pedro: 2224-0654

Momentum Escazu: 2101-9574

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