Complications After Mohs Micrographic Surgery in Patients Aged 85 and Older
| Autor: | James Ko, Eva A. Hurst, Kathleen M. Nemer |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
Male
medicine.medical_specialty Skin Neoplasms Population Dermatology Surgical Flaps 030207 dermatology & venereal diseases 03 medical and health sciences Postoperative Complications 0302 clinical medicine Hematoma Risk Factors Humans Medicine In patient education Neoplasm Staging Retrospective Studies Skin Aged 80 and over education.field_of_study business.industry Wound dehiscence Incidence Incidence (epidemiology) Age Factors Anticoagulants Extremities Retrospective cohort study General Medicine Odds ratio Mohs Surgery medicine.disease Confidence interval Surgery 030220 oncology & carcinogenesis Female business |
| Zdroj: | Dermatologic Surgery. 47:189-193 |
| ISSN: | 1524-4725 1076-0512 |
| Popis: | Background As the US population ages, safe surgical procedures are necessary for treatment of cutaneous neoplasms in very elderly patients. Objective To determine the incidence of complications associated with Mohs micrographic surgery (MMS) in patients aged 85 and older, and the risk factors that predispose to complications. Methods A 9-year retrospective chart review of patients aged 85 and older who underwent MMS at our institution between 07/2007 and 11/2016 was performed. Six types of complications associated with scalpel-based cutaneous surgery were recorded, as well as patient, tumor, and repair characteristics. Results This study included 949 patients totaling in 1683 MMS cases. There were 30 complications: infection (N = 11), wound dehiscence (N = 6), hematoma (N = 6), hemorrhage (N = 5), flap necrosis (N = 1), and graft necrosis (N = 1), resulting in an overall complication rate of 1.78%. Independent risk factors associated with a statistically higher incidence of complications were anticoagulant use (odds ratio [OR], 2.78; 95% confidence interval [CI], 1.26-6.13; p = .012), extremity location (OR, 2.80; 95% CI, 1.19-6.54; p = .018), greater than 2 MMS stages (OR, 2.43; 95% CI, 1.08-5.46; p = .032), and flap repair (OR, 2.27; 95% CI, 1.05-4.90; p = .036). Conclusion Mohs micrographic surgery is a safe procedure for treatment of cutaneous neoplasms in the very elderly. |
| Databáze: | OpenAIRE |
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