皮肤外科手册 英文原版PDF电子书下载

1 Introduction 1

2 Diagnosis 3

Defining the Lesion 3

Studying the Lesion 11

Common Skin Lesions 12

3 Practical Anatomy 23

Relaxed Skin Tension Lines 24

Regional Considerations 26

Superficial Anatomy 30

4 WoundHealing 39

Phases 39

5 Skin Biopsy 47

Incisional versus Excisional Biopsy 47

Shave Biopsy 48

Curette Biopsy 52

Scissors Biopsy 55

Punch Biopsy 55

Excisional Biopsy Technique 58

Special Considerations 58

Biopsy Record Keeping 64

6 Local Anesthesia 65

Chemistry and Classification 65

Local Additives 66

Allergic Reactions 67

Adverse Effects and Drug Interactions 68

Local Anesthesia Technique 68

Topical Anesthesia 72

Tumescent Anesthesia 74

7 Surgical Instruments 75

Scalpels 75

Needle Holders 77

Forceps 80

Skin Hooks 81

Hemostats 82

Scissors 83

Curette 84

Miscellaneous Instruments 85

Instrument Care 86

The Surgical Suite 87

8 Wound Closure Materials 91

Absorbable Sutures 93

Nonabsorbable Sutures 95

Needles 96

Staples 98

9 Patient Preparation 99

Indications 99

Medical History 100

Patient Evaluation 102

Prophylaxis 105

Pacemakers 106

Blood Thinners 107

Dressings 108

10 Basic Excisional Surgery 111

Planning the Excision 111

Marking the Lesion 112

The Ellipse 113

Anesthesia 114

Drape and Preparation 115

Procedure 116

Wound Closure 121

Lazy S Repair 130

11 Surgical Complications 137

Bleeding 137

Infection 143

Necrosis 147

Dehiscence 148

Other Postoperative Problems 149

12 Special Topics in Dermatologic Surgery 155

Melanoma 155

Lentigo Maligna 157

Nevi 158

Skin Cancer 158

Mohs Surgery 160

Cysts 162

Keloids and Scars 163

Lipomas 164

When to Refer 164

13 Risk Management 167

Informed Consent 167

Documentation 169

Confidentiality 171

Appendix Ⅰ Action Guides 173

Skin Biopsy 174

Pigmented Lesions 175

Basal Cell Cancer 176

Squamous Cell Cancer 177

Complications 178

Appendix Ⅱ Vendors for Dermatologic Surgery Suite 179

Index 181