Reconstruction after Mohsʼ cancer excision

Rudolph, Ross; Miller, Susan

doi:10.1097/00006527-200020030-00016

Cited by 7 publications

(7 citation statements)

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“…In a study by Futoryan and colleagues the infection rate of excisions at the level of cartilage was 28.6%, which was higher than an infection rate of 5.9% in procedures that did not involve cartilage. Rudolph and colleagues reported that Mohs surgeons often prescribe postoperative antibiotics when procedures involve the manipulation of auricular cartilage, but Campbell and colleagues conducted a study comparing prophylactic postoperative gentamicin ointment with petrolatum for the prevention of suppurative chondritis during second‐intention healing of auricular wounds after Mohs surgery. Of 144 wounds evaluated, eight (5.6%) developed postoperative suppurative chondritis.…”

Section: Topical and Incisional Antibioticsmentioning

confidence: 98%

Prophylactic and Empiric Use of Antibiotics in Dermatologic Surgery: A Review of the Literature and Practical Considerations

Rossi

2012

Dermatologic Surgery

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Background Although the risk of postoperative infection and bacteremia from dermatologic procedures remains low, many dermatologic surgeons continue to prescribe antibiotics, pre‐ and postoperatively. This practice can lead to unwanted morbidity and mortality and significantly increases associated healthcare costs and, even more ominously, increases bacterial resistance in the community. Objective To provide a comprehensive overview of antibiotic usage in dermatologic surgery and use evidence‐based medicine to provide recommendations for antibiotic usage tailored to microbial pathogens. Materials and Methods A literature review was conducted to provide the most current overview of the guidelines for antibiotic use against surgical site infections, infective endocarditis, and hematogenous joint infection. In addition, recommendations for antibiotic use with implantable materials, such as fillers, and for special populations, such as organ transplant recipients, are provided. Results and Conclusion We focused on the most common bacterial pathogens related to surgical sites and effective antibiotics for each. In doing so, we seek to limit the unwarranted use of antibiotics in dermatologic surgery.

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Section: Topical and Incisional Antibioticsmentioning

confidence: 98%

Prophylactic and Empiric Use of Antibiotics in Dermatologic Surgery: A Review of the Literature and Practical Considerations

Rossi

2012

Dermatologic Surgery

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“…Mohs micrographic surgery (MMS) has been validated as a highly successful modality for treating skin cancer because it is associated with high cure rates and maximal preservation of normal tissue 1–8 . Wounds that result from tumor extirpation are usually amenable to primary closure with acceptable functional and cosmetic results.…”

Section: Introductionmentioning

confidence: 99%

Predictors of Reconstruction with Mohs Removal of Nonmelanoma Skin Cancers

Boyle

Newlands²,

Wagner³

et al. 2008

The Laryngoscope

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“…Some Mohs surgeons have reported the use of prophylactic antibiotics in up to 77% of patients, and many use prophylaxis for all repairs of facial defects. 19 We have demonstrated the effectiveness of a single intra-incisional dose of an antibiotic formulation administered immediately before the repair of defects following Mohs surgery; this method of prophylaxis may prove to be a better alternative for other highrisk wounds.…”

mentioning

confidence: 98%