TY - CHAP M1 - Book, Section TI - Chapter 243. Excisional Surgery and Repair, Flaps, and Grafts A1 - Sheehan, Jessica M. A1 - Kingsley, Melanie A1 - Rohrer, Thomas E. A2 - Goldsmith, Lowell A. A2 - Katz, Stephen I. A2 - Gilchrest, Barbara A. A2 - Paller, Amy S. A2 - Leffell, David J. A2 - Wolff, Klaus PY - 2012 T2 - Fitzpatrick's Dermatology in General Medicine, 8e AB - |PrintExcisional Surgery and Repair, Flaps, and Grafts at a GlanceExcisional surgery is one of the most common surgical procedures in dermatologyThe goal of excisional surgery is to remove the lesion with appropriate margins and obtain the best cosmetic result.The planning and execution of dermatologic surgery procedures must balance risk and benefit and consider all options to achieve a particular outcome. Wounds should be closed under minimal tension, with scars placed along cosmetic unit junctions or skin tension lines, without distorting critical anatomic structures and landmarks.The closure must preserve sensory and motor nerve function.An elliptical or fusiform excision is the fundamental procedure in dermatologic surgery and typically allows for a linear, side-to-side closure.Flap or graft repair may be considered when linear closure is not feasible.Flaps are commonly classified according to their primary movement as advancement, rotation transposition, or interpolation.The three basic types of skin grafts are full-thickness, split-thickness, and composite. SN - PB - The McGraw-Hill Companies CY - New York, NY Y2 - 2024/04/19 UR - accessmedicine.mhmedical.com/content.aspx?aid=56105873 ER -