[What's new in instrumental dermatology?]

Area of Science:

• Dermatology
• Surgical Oncology
• Medical Technology

Background:

• Skin cancer excision is a key dermatologic surgery procedure.
• Advances in technology and surgical techniques are evolving.
• Management of complications and reconstruction are critical aspects.

Purpose of the Study:

• To review recent advancements in skin surgery techniques and management.
• To highlight innovations in imaging, surgical procedures, and complication handling.
• To provide an update on best practices for cutaneous surgery.

Main Methods:

• Literature analysis of studies published between 2015-2017.
• Review of advancements in noninvasive imaging technologies.
• Analysis of updated guidelines and surgical techniques for specific conditions.

Main Results:

• Noninvasive imaging aids tumor delineation and complete removal.
• Slow-Mohs technique is optimal for dermatofibrosarcoma protuberans.
• Wide local excision improves outcomes for hidradenitis suppurativa.
• Management of anticoagulants requires careful consideration for bleeding risk.
• Specific flap and graft techniques are effective for skin defect reconstruction.

Conclusions:

• Skin surgery is safe with low complication rates, primarily bleeding.
• Technological integration and refined techniques enhance surgical outcomes.
• Evidence for infection prevention in dermatologic surgery is limited.
• Personalized reconstruction strategies are essential for optimal results.