This book is a practical guide for time efficient, cost effective, and cosmetically excellent skin surgery, covering the fundamentals that can be done in the office setting. It covers procedures in the Core Educational Guidelines for Family Practice Residents and provides criteria for recommending referral to a skin specialist. The focus is on treating common skin lesions, choosing the appropriate biopsy type for suspicious lesions, and the prevention of surgical and post surgical complications. This book is organized in a logical fashion starting with setting up the facilities, instruments, and equipment necessary to perform skin surgery in the office. Step-by-step procedures along wiht clear colour photographs accompany the chapters on shave biopsy, punchbiopsy, elliptical excision, cryosurgical technique, electrosurgery, and intralesional injections. This text provides necessary information on choosing anesthesia, diagnosing and treating common cutaneous malignancies, and caring for wounds. Finally, the authors provide chapters on when to refer and on preventing complications.
1. Facilities, Instruments, and Equipment 2. Preoperative Preparation: Universal Precautions, Sterilization, and Medical Evaluation 3. Anesthesia 4. Hemostasis 5. Choosing Biopsy Type 6. Shave Biopsy 7. Suture Material 8. Suturing Techniques 9. Punch Biopsy 10. Elliptical Excision 11. Cryosurgical Techniques 12. Electrosurgery 13. Incision and Drainage 14. Therapeutic Injections of Skin Lesions 15. Treatment of Benign and Premalignant Lesions 16. Diagnosis and Treatment of Common Malignancies 17. When to Refer 18. Wound Care 19. Complications and Their Prevention
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