Dermatologic Surgery in the Demented Patient

Abstract

The dermatologic surgeon needs to be aware of the special concerns of demented patients, especially in prolonged and potentially complicated surgeries. Not only do they have mental challenges, but they often have other medical and social challenges that need to be specifically accounted for before, during, and after dermatologic surgery.

Management of keratinocyte carcinoma - Special considerations in the elderly

“…Wound care and follow-up visits for suture removal can be minimized by using absorbable sutures in both the dermal and epidermal layers for closure of the surgical defect and coverage with wound-closure tape or transparent dressing to protect the incision (Whitely et al., 2003). Additionally, in appropriately selected cases, surgical defects after MMS may be allowed to heal via secondary intention to decrease operative time and simplify wound care (Whitely et al., 2003). The utilization of allografts with or without purse-string suturing after MMS or the excision of large surgical defects in the elderly can also be a reconstructive option that can minimize wound care burden.…”