Abstract
This chapter covers the full range of dermatologic surgery, which will be essential reading for residents in dermatology, family practice, and surgical specialties. Surgical wounds typically heal by following a sequence of three overlapping physiological stages: inflammation, proliferation, and remodeling. Normal wound healing can be prolonged in individuals with certain diseases such as diabetes and vascular insufficiencies as well as other factors such as malnutrition, smoking, prior radiation, and infection. Following surgery, wound healing occurs through a cascade of events that begins with hemostasis, then progresses through inflammatory, proliferative, and remodeling stages, and ends with the formation of scar tissue. In normal individuals, this process proceeds in a predictable time period; however, certain conditions such as diabetes, smoking, infection, and prior radiation therapy can delay wound healing. Knowledge of the key elements of acute wound healing will assist in optimal patient selection and peri-operative care in cutaneous surgery.
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