How safe is dermatologic surgery?
Prospective research work on complications in dermatologic surgery located in an office-based setting
DOI:
https://doi.org/10.47196/da.v26i1.2065Keywords:
Surgical dermatology, Complications, Hemorrhage, Infection, Active bleeding, Ecchymosis, DehiscenceAbstract
Background: Although the global complications in surgical dermatology referred to in the worldwide literature are low (1.64-4.58), regional publications with prospective data on them are scarce and nationally non-existent.
Objectives: Estimate the incidence of intra-surgical complications (IC) and post-surgical complications (CP) in dermatological surgery procedures and characterize them within the scope of a reference hospital in the Autonomous City of Buenos Aires.
Design: Descriptive, prospective, observational and longitudinal research work.
Materials and methods: Demographic information of the patient and operative data were collected at the time of the surgical procedure. Surgical complications that occurred up to one month after the Hospital between February 2015 to March 2018 were classified.
Results: The incidence found was 0% (95% CI 0-0.4) for IC and 4.4% (95% CI 3.2-5.9) for PC in a series of 765 patients (937 procedures). The most frequent PC was dehiscence (68%), followed by infection (16%), bleeding variants (9%) and necrosis (7%). Neither the PC were severe, not included death, hospitalization or permanent sequelae.
Conclusions: Office based dermatologic surgery is safe and the percentage of complications is low, comparable to that published in the international literature.
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