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Intraoperative Assessment of Resection Margins in Oral Cavity Cancer: This is the Way
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Scar outcomes in dermatological surgery.

Burcu Kim1,2, Melissa Sgarioto1,2, Daniel Hewitt1,2

  • 1Skin and Cancer Foundation Australia, Westmead, New South Wales, Australia.

The Australasian Journal of Dermatology
|March 1, 2017
PubMed
Summary

Dermatological surgery complications are generally low and resolve over time, with scar spreading being the main exception. Further study is needed to understand factors influencing surgeon-specific complication rates.

Keywords:
abscess formationdermatological surgerygranuloma formationhypertrophic scar formationscarscar spreadingsuture spittingsutures

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Area of Science:

  • Dermatological surgery
  • Wound healing
  • Scar revision

Background:

  • Poor scar quality can cause significant functional impairment and psychological distress.
  • Identifying measures to reduce surgical complications is crucial for patient outcomes.

Purpose of the Study:

  • To evaluate the incidence and predictors of complications following dermatological surgery.
  • To assess the long-term impact of surgical factors on scar quality.

Main Methods:

  • A prospective study of 212 patients undergoing dermatological surgery.
  • Data collected included patient demographics, surgical details, and complication types.
  • Follow-up at 6 weeks and 6 months for complications such as abscess, granuloma, scar spreading, suture spitting, and hypertrophic scarring.

Main Results:

  • Complication rates at 6 weeks included suture spitting (14%), granuloma (11%), and scar spreading (7%).
  • At 6 months, scar spreading increased to 17%, while other complications decreased.
  • Younger age, trunk/limb surgical site, more deep sutures, and surgeon were predictors for scar spreading at 6 months.

Conclusions:

  • Complications from dermatological surgery are typically low and transient, except for scar spreading.
  • Scar spreading is influenced by patient age, surgical site, suture technique, and surgeon experience.
  • Further research is recommended to investigate surgeon-specific factors influencing complication rates.