By Elizabeth Hale, Julie Karen, Perry Robins

The instruction manual of Dermatologic Surgery contains the main leading edge know-how acceptable to dermatologists and dermatologic surgeons at the present time. Designed as a reference consultant for dermatologic surgical procedure and aesthetic systems, it disseminates key medical info in an easy-to-use pocket book.

This guide is designed to be without problems portable for dermatologists and dermatologic surgeons, in addition to these in education, dermatology citizens and fellows, and scientific scholars rotating via dermatology.

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3 Local anesthetics Section B (continued) 7 mg/kg 7 mg/kg Maximum dosage with epia (1:100,000) 4–6 h Tetracaine (Pontocaine®) Dental procedures 15–45 min Topical (cornea, conjunctiva) 2–5 min Uses Slow onset, long duration Short duration; allergic reactions; and cross-reacts with topical anesthetics, hair dyes, sunscreens, and sulfur derivatives Special considerations 15 mg/kg 24 Maximum dosage with epia (1:100,000) Epinephrine prolongs anesthesia and decreased the risk of systemic anesthetic toxicity due to decreased absorption via vasoconstriction.

Section A Posterolateral branch vein The small saphenous vein joins the popliteal vein at or near the popliteal fossa in nearly two-thirds of cases. Significant variability exists. 16 Small saphenous vein (SSV) and its tributaries Small saphenous vein The vein of Giacomini connects the small saphenous to the great saphenous vein in a majority of cases Surgical Anatomy 16 17 Medications with particular attention to: • Anticoagulants (recommendations on next page) • Herbal and over the counter medications including but not limited to: – Vitamin E – Feverfew – Fish oil – Garlic – Ginger – Gingko biloba – Ginseng E.

Jambusaria-Pahlajani A, et al. Evaluation of AJCC tumor staging for cutaneous squamous cell carcinoma and a proposed alternative tumor staging system. JAMA Dermatol. 7 (continued) Section B Excisional and Non-excisional Surgery Normal Elevated All other visceral metastases Any distant metastasis 37 Melanoma TNM classification. For defining T1 melanomas Clark level of invasion is used as default criterion only if mitotic rate cannot be determined. , HMB45, Melan-A/MART-1) Adapted from Balch CM, Gershenwald JE, Soong SJ, et al.

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