Pediatric Surgical Pearls: Minimizing Complications

Abstract

Performing dermatologic surgery in infants and children presents unique challenges. A thorough understanding of both pediatric developmental milestones and their unique surgical circumstances is essential to providing optimal dermatologic care of the pediatric patient. In this work, we combine the authors' experiences with data from the literature to provide pediatric dermatologic procedural pearls.

Local anesthesia in pediatric dermatologic surgery: Evaluation of a patient‐centered approach

“…It is likely that factors contributing to the positive outcome included the adjunctive use of topical anesthesia to minimize pain and anxiety linked to infiltrative anesthesia, the correctness and clarity of information delivered during the consultation and then surgery to parents and children, inclusion of an illustrative cartoon brochure, a structured and coherent approach by all surgical team members, use of distraction techniques during the procedure, allowing a parent to be present in the operating room, and a reward given independent of the child's attitude during the procedure . In particular, our experience indicates that a cartoon brochure is a welcome didactic instrument for children.…”

Small and Medium-Sized Congenital Nevi in Children

“…14 stretching, and dehiscence also make prophylactic excision a less attractive option. 15 The parentsFor the child if old enoughFshould have the last word in the decision, and a clear explanation by the dermatologist is important.…”

Risk of General Anesthesia in Pediatric Skin Procedures with Projection on Tumescent Anesthesia

“…Randomized control trials evaluating general anaesthesia in pediatric invasive skin procedures in comparison with local anaesthesia or any other approach are sparse. We conducted this retrospective cohort study to highlight the safety of general anaesthesia in the pediatric population undergoing dermatologic procedures [3].…”