Interpolation Flaps in the Outpatient Mohs Surgery Setting: A Prospective Cohort Study of Patient Pain, Anxiety, and Satisfaction
| Autor: | David Zloty, Noelle Wong, Victoria Godinez-Puig, Irèn Kossintseva, Joy Makdisi |
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| Rok vydání: | 2020 |
| Předmět: |
Male
Skin Neoplasms Visual Analog Scale Visual analogue scale medicine.medical_treatment Analgesic Dermatology Anxiety Surgical Flaps 030207 dermatology & venereal diseases 03 medical and health sciences 0302 clinical medicine Patient satisfaction Mohs surgery Medicine Humans Local anesthesia Prospective Studies Prospective cohort study Aged Pain Measurement Analgesics Pain Postoperative business.industry General Medicine Perioperative Middle Aged Mohs Surgery Patient Satisfaction 030220 oncology & carcinogenesis Anesthesia Surgery Female medicine.symptom Facial Neoplasms business |
| Zdroj: | Dermatologic surgery : official publication for American Society for Dermatologic Surgery [et al.]. 47(1) |
| ISSN: | 1524-4725 |
| Popis: | Background Staged interpolation flaps (SIFs) have historically been performed under general anesthesia by specialties outside of dermatologic surgery. However, SIFs performed under local anesthesia by dermatologic surgeons have shown lower or equal complication rates. Objective To date, no studies have evaluated pain, anxiety, satisfaction, and use of perioperative analgesics in patients undergoing SIFs in an outpatient setting under local anesthesia. Methods/materials This is a prospective cohort study of 39 patients who received Mohs micrographic surgery and subsequent SIF repair in an outpatient setting under local anesthesia. Pain, anxiety, and satisfaction scores were recorded using 100-point validated visual analog scales. Perioperative analgesic use was quantified. Results The defect size was ≥4 cm in 72% of patients; 41% had full-thickness (skin/cartilage/mucosa) defects. All pain and anxiety measures were minimal to mild. Pain scores ranged from highest (mean = 39 ± 4.1) on postoperative Day (POD) 1 to lowest (mean = 12.3 ± 2.0) on POD 7. Anxiety scores ranged from highest (mean = 42 ± 4.5) on POD 1 to lowest (mean = 18.5 ± 3.7) on POD 7. Perioperative patient satisfaction was high (mean = 95 ± 1.7). Postoperative narcotic analgesics were prescribed in 15% of patients. Conclusion Staged interpolation flaps performed under local anesthesia in the outpatient setting are well tolerated with low pain and anxiety, high patient satisfaction, and minimal analgesic use. |
| Databáze: | OpenAIRE |
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