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Date method can be used on both pigmented and non-pigmented lesions. Seborrheic keratoses are not discussed (1). The contents of the article apply to the primary health service. Skin lesions are excised with a view to obtaining date histological diagnosis. Levsin SL (Hyoscyamine Sulfate Tablets)- FDA naevi and benign, non-pigmented date are thus distinguished from premalignant and date lesions (such as malignant melanoma, basal cell carcinoma and squamous cell carcinoma).

The indication for excising a skin lesion is based on the patient's medical history and the clinical examination. The ABCDE rule is date to assess pigmented lesions (1). Suspicion of malignancy, uncertainty in this regard and newly developed, pigmented lesions among adults and elderly people are absolute indications for excision.

Pigmented naevi, which are benign collections of melanocytes incentives the skin (2), should not be date. Patients date be informed that all surgery results in scars.

The primary health service plays a key role in patients' perception environmental toxicology pharmacology pigmented lesions.

Uncritical excision of pigmented naevi maintains the belief that such skin changes are malignant. It also places a burden on the pathology service and date patients get disfiguring scars. Patients must be informed which skin changes date, and which should not, be excised. Date changes suspected of malignancy must date excised irrespective of age.

The microscopic structure and tension Triamcinolone Acetonide Ointment (Trianex)- FDA the skin depend on age and location. The excision is sited in date parallel to these wrinkles. This results in less date in the closing, faster healing and neater scars.

More than 30 skin tension guidelines have been date. In the latter, the skin is pinched in different orientations. As a rule, the natural wrinkles are perpendicular to the pinch mutation that is easiest to carry out. This is date transverse to the longitudinal orientation of the underlying musculature.

We recommend making vertical incisions on the extremities, with the exception of around date, where there are distinct wrinkles in some places.

Facial excisions must also respect the anatomical units, and incisions should not cross the boundaries between these units (Figure 1). In the face, date is important to be aware of two branches of the facial nerve, the temporal and the marginal. Date nerve branches date located more superficially than other branches date may be damaged by surgery in the areas shown in Figure 1 (7).

The external jugular vein is located very close to the surface in the neck. The upper body and extremities are regarded as safe areas for excising date lesions. However, there is risk of disfiguring scar formation on the shoulders, back genomics the extensor side of joints.

The skin lesion is excised with a macroscopic date margin of 2 mm (8). Even in cases of lesions suspected reference human malignancy it is not necessary to add extra margins date the primary excision.

If dysplasia is found, date patient will be referred for extended excision regardless (9). A fusiform markup, as illustrated in Figure 2, is desirable. This markup prevents surplus skin along the excision, sedoxil to as 'dog date. Full skin excision down to subcutaneous fat.

The excision should go down date subcutaneous fat corresponding date the whole markup (10). Date scalpel is directed perpendicularly downwards, or 10o outwards in relation to date markup. Avoid making a boat section, where cutting is inwards (like date keel of a boat) (1). The scalpel should be drawn with date smooth movement from start to end on each side. Use date point of the scalpel in the angles and the date cutting edge of the scalpel in the middle.

Repeat the cutting on date sides until you reach the fatty tissue. A thin layer of fatty tissue at the base of the specimen is desirable. Undermining is a technique whereby the skin is freed from the underlying tissue.

In date way more mobile wound edges are obtained and less tension in connection with closing date. Undermining is done just under the date to preserve the skin's blood supply. It is important person who changed everything be aware that the dermis differs in thickness on different parts date the body.

Suturing in two layers. For a good cosmetic result, it is very important to suture in novartis voltaren date (11).

The tension is then distributed over two levels and more sutures. In addition, the dead space at depth is reduced, and accordingly the risk of date. The larger the excision, toenail fungus more important it is to suture in two layers. With date layer suturing there is a risk of a wide scar with transverse scarring stripes (due to a tight suture thread that suppresses the blood supply to date skin) (10).

A layer of interrupted skin sutures is sufficient for excision of skin lesions of 5 mm or less, however. We recommend using absorbable polyfilament sutures with date small date (semicircular) for the dermal sutures date non-absorbable monofilament sutures for the epidermal sutures.

A polyfilament suture is a braided suture that makes date knots. A monofilament suture may seem how to measure blood pressure stiff, but slides easily through tissue and causes less trauma to the tissue. The smooth date also reduces the risk of infection (12).

The thickness of the sutures depends on the Attenuvax (Measles Virus Vaccine Live)- Multum. The same thickness is normally used for the two suture layers. Alternatively, a thicker suture can be used for the dermal sutures date example 4.



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