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Vol. 100. Issue 8.
Pages 661-668 (October 2009)
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Vol. 100. Issue 8.
Pages 661-668 (October 2009)
Controversies in dermatology
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Complications in Dermatologic Surgery
Complicaciones en Dermatología Quirúrgica
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R. Jiménez-Puya
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JIMPUYA@terra.es

Correspondence: Rafael Jiménez Puya, Servicio de Dermatología M-Q y Venereología, Hospital Universitario Reina Sofía, Avda. Menéndez Pidal, s/n, 14004 Córdoba, Spain.
, C. Vázquez-Bayo, F. Gómez-García, J.C. Moreno-Giménez
Servicio de Dermatología, Hospital Universitario Reina Sofía, Córdoba, Spain
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Abstract

Surgical complications are any deviation from the expected course of the surgical procedure. They occur as a consequence of one or more unexpected events, which can be avoided in the majority of cases through careful planning, a precise surgical technique, and correct postoperative care. Some complications, such as cardiac arrhythmias, anaphylaxis, and cardiorespiratory arrest, are life-threatening whereas others, occurring as a direct result of surgery, can affect the healing process and the final cosmetic appearance of the scar. We must therefore have not only the relevant training in dermatologic surgery, but also in basic and advanced cardiopulmonary resuscitation. In this review we discuss the perioperative measures necessary to avoid the onset of complications in dermatologic surgery and we define the various complications that can develop.

Key words:
dermatologic surgery
complications
dehiscence
necrosis
hematoma
infection
Resumen

Las complicaciones quirúrgicas son desvíos de la evolución esperada en la realización del acto quirúrgico. Ocurren como consecuencia de uno o varios sucesos inesperados que, en la mayoría de los casos, podrían evitarse con una planificación previa minuciosa, una atención máxima durante la cirugía y unos cuidadospostoperatorios adecuados. Algunas complicaciones son vitales, como la aparición de arritmia cardíaca, anafilaxia o parada cardiorrespiratoria, y otras, derivadas directamente de la cirugía cutánea, pueden afectar al proceso de cicatrización y al aspecto estético final de la cicatriz. Por lo tanto, no solamente debemos tener una formación adecuada en cirugía cutánea, sino también en reanimación cardiopulmonar básica y avanzada. En estarevisión comentaremos las medidas perioperatorias necesarias para evitar la aparición de complicaciones en lacirugía dermatológica y definiremos las diferentes complicaciones que pueden aparecer tras la misma.

Palabras clave:
cirugía dermatológica
complicaciones
dehiscencia
necrosis
hematoma
infección
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Copyright © 2009. Academia Española de Dermatología y Venereología and Elsevier España, S.L.
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