Surgical Myths in Dermatology

Abstract

The authors have indicated no significant interest with commercial supporters.

The Fusiform Skin Excision: One Recipe for Success

“…Regarding length, the classic width ratio of 3 to 4:1 may not be required depending on skin laxity. 7…”

“…Absorbable sutures may be used without significantly increased risk of infection, inflammation, or dehiscence if they are removed as per standard protocol (ie, 5–7 days on the face). 7…”

“…A recent article refuted commonly held myths in cutaneous surgery, including the use of lidocaine with epinephrine for anesthesia of the fingers, nose, and ears, as well as the use of absorbable sutures for “skin sutures.” 7 Special care should be taken in those with any suggestion of peripheral vascular compromise. The article also refutes the belief that surgical gut suture is too inflammatory and polyglactin 910 is too prone to infection to use for percutaneous closures.…”

“…Potential benefits include reduced costs when using the same suture for deep and cuticular sutures. 7…”

Direct primary closure without undermining in the repair of vermilionectomy defects of the lower lip

“…Reflecting, auditing and critically appraising any surgical technique or practice is vital to promote the highest standards in the art of reconstructive surgery. Questioning why we do things the way we do, and challenging conventional perceived dogma 4 will ensure our patients continue to receive the very best care. One such example is the use of tie‐over bolster dressings after full‐thickness skin grafting, which has generally been perceived as a necessary requirement to ensure graft survival.…”