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Surgical Site Infection Following Dermatologic and Plastic Surgery in an Office Setting
Daichi Morioka1, Satoru Tamura2, Takaharu Otsuka1
1Department of Plastic Surgery, Kitasenju Clinic of Plastic Surgery and Dermatology, Tokyo, JPN.
Cureus
|August 21, 2025
Summary
Surgical site infections (SSIs) are rare in outpatient skin surgery, with a low incidence of 0.08% in this study. Complex procedures and hair-bearing areas may increase SSI risk, emphasizing surgical technique and patient education.
Area of Science:
- Dermatology
- Plastic Surgery
- Infectious Disease
Background:
- Surgical site infections (SSIs) are uncommon but costly complications in skin surgery.
- Minimizing SSIs is crucial for patient comfort and healthcare economics.
Purpose of the Study:
- To determine the incidence and risk factors of SSIs in outpatient dermatologic and plastic surgeries.
- To identify effective strategies for preventing SSIs in these procedures.
Main Methods:
- Retrospective chart review of 8,742 outpatient procedures (2012-2024).
- Inclusion criteria: Class I (clean) and Class II (clean-contaminated) surgeries requiring wound approximation.
Main Results:
- Overall SSI incidence was 0.08% (7 infections).
- Complex procedures had higher SSI rates (1.42%) than simple closures (0.06%).
- Hair-bearing regions showed a trend toward increased infection risk.
Conclusions:
- The study found an extremely low SSI incidence compared to prior research.
- Proper surgical techniques, especially subcuticular sutures in hair-bearing areas, are vital.
- Comprehensive patient education on postoperative care is essential for SSI prevention.
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