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Undermining in cutaneous surgery.

J D Boyer¹, J A Zitelli, D G Brodland

¹National Naval Medical Center, Bethesda, MD, USA. boyeraloha@aol.com

Dermatologic Surgery : Official Publication for American Society for Dermatologic Surgery [Et Al.]

|March 7, 2001

Summary

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Undermining in cutaneous surgery reduces wound tension, enhancing reconstruction outcomes. Judicious undermining, particularly sharp technique, is recommended for optimal cosmetic results.

Area of Science:

Dermatology
Plastic Surgery
Surgical Techniques

Background:

Undermining is a fundamental technique in cutaneous surgery.
Review of benefits, risks, and technical aspects of undermining.

Purpose of the Study:

To facilitate the execution of undermining in cutaneous surgery.
To provide a comprehensive review of undermining techniques.

Main Methods:

Extensive authors' experience with thousands of cutaneous reconstructions.
Comprehensive literature consultation and review.

Main Results:

Undermining effectively reduces wound closing tension.
Discussion of anatomic considerations, benefits, risks, and sharp/blunt techniques.

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Regional undermining recommendations provided.

Conclusions:

Judicious undermining, performed by surgeons knowledgeable in cutaneous anatomy, enhances reconstruction execution and cosmesis.
Sharp undermining technique is considered optimal for most cutaneous reconstructions.