Undermining in Cutaneous Surgery

Boyer, Julien; Zitelli, John A.; Brodland, David G.

doi:10.1046/j.1524-4725.2001.00109.x

Cited by 7 publications

(3 citation statements)

References 11 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…It is important to perform even and uniform extirpation so as to avoid unnecessary severing of deeper vessels (or nerves) and to facilitate wound closure. Undermining of the tissue adjacent to the surgical defect is necessary to gen-erate both vertical and horizontal movement of the wound edges and involves stretching and/or breaking the interlobular collagenous septae that connect the deep fascia with the reticular dermis (38). Boyer et al describe several benefits to undermining, including decreased wound closing tension, reduction of tissue redundancies, and wider distribution of wound contraction/scar forces.…”

Section: Intraoperative Management Of Hemorrhagementioning

confidence: 99%

Hemorrhagic complications in dermatologic surgery

Bunick

Aasi

2011

Dermatologic Therapy

View full text Add to dashboard Cite

The ability to recognize, manage, and, most importantly, prevent hemorrhagic complications is critical to performing dermatologic procedures that have safe and high quality outcomes. This article reviews the preoperative, intraoperative, and postoperative factors and patient dynamics that are central to preventing such an adverse outcome. Specifically, the role that anticoagulants and antiplatelet agents, hypertension, and other medical conditions play in the development of postoperative hemorrhage are discussed. In addition, this article provides practical guidelines on managing bleeding during and after surgery.

show abstract

Section: Intraoperative Management Of Hemorrhagementioning

confidence: 99%

Hemorrhagic complications in dermatologic surgery

Bunick

Aasi

2011

Dermatologic Therapy

View full text Add to dashboard Cite

show abstract

“…The defect should be prepared by removal of the excess tissue at the base of the defect, which may impede movement of the island flap. 21,22 Further refinements in the design of the pedicle itself, as presented in this article, permit improved mobility without vascular compromise by careful consideration of the cutaneous vascular anatomy.…”

Section: Anatomymentioning

confidence: 96%

Innovations in the Island Pedicle Flap for Cutaneous Facial Reconstruction

Hairston

Nguyen

2003

Dermatologic Surgery

View full text Add to dashboard Cite

BACKGROUND. The island pedicle flap is a useful method of reconstruction in dermatologic surgery. Traditionally, the pedicle has been centrally and inferiorly based, with flap movements by rotation or advancement. With innovations, however, the flap is remarkably applicable to a variety of facial defects. OBJECTIVE. Our purpose is to introduce modifications of the island pedicle flap, including (1) single lateral pedicle, (2) transposition, and (3) interpolation movements. METHODS. Modifications of the island pedicle flap were applied in nine cases of cutaneous repair after Mohs micro-

show abstract

“…Next, the skin is widely undermined at the appropriate level, depending on the anatomic site. 4 The initial repair is begun with the placement of a buried vertical mattress suture in the center of the circular defect in a manner that aligns the wound with relaxed skin tension lines ( Figure 1). This maneuver will result in the creation of two standing cones (dogears) at each tip.…”

mentioning

confidence: 99%