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Patient care

by Verónica Ruiz 14 de May de 2021

PRE SURGERY EVALUATION

The surgical process begins in the visit prior to the surgery, where it is very important to take down all the relevant data about the patients medical history, inform them about the type of surgery that is going to take place, the need for postoperative care and also introduce the management of expectations of short and long term results.

The fact of having and providing the appropriate information will allow us to minimize and anticipate the possible complications that may arise and build a relationship of trust between doctor and patient that will undoubtedly make the entire process easier.

-For more information, I invite you to read the following posts:

• Should anticoagulants be stopped before undergoing dermatological surgery?

 

DAY OF THE SURGERY

Generally, it is recommended that you do not come driving in your own car and you come accompanied by a family member or friend.

If it is an intervention under local anesthesia, you can eat a light meal at least two hours before the intervention and be fasting if you must undergo general anesthesia or sedation.

An important aspect to consider the same day of the surgery, is that the surgeon can maintain an initial  brief conversation with you before proceeding with the surgery.  In this way, we will know how the patient is feeling, if there has been any intercurrent event up to now, and we empathically resume our relationship, which will help to minimize the understandable worry and concern that may accompany you on the day of the surgery.

It is also appropriate to notify you about the steps that we are going to follow next, whether it is information related to local anesthesia or the surgery itself, a fact that will allow you to maintain regular communication with us and also give you peace of mind and security.

If the surgery takes a long time, as can occur in some Mohs surgeries, it would be appropriate to also inform your accompanying family members of the situation to reduce uncertainty and transmit serenity.

-For more information, I suggest you read the following post:

• 5 strategies to minimize anxiety that the patient experiences in relation to the surgery. 

POST-SURGICAL MANAGEMENT

Once the surgery has been completed, it is recommended that the surgeon informs you about the postoperative duration of anesthesia applied during the intervention, the treatment of possible posterior pain, the probable complications that could appear and clear instructions on wound healing.

The first postoperative visit is usually done within the first two weeks after the surgery, requiring in many occasions and  in function of the type of surgery that was performed, a closer monitoring, being able to indicate a first check up in the first 3 postoperative days to check the condition of the wound.

-For more information, I would like to invite you to read the following posts:

• Is it better to promote moist wound healing after dermatological surgery or not?

• Postoperative pain in dermatological surgery: passwords to manage it

About myself

About myself

Dra. Verónica Ruiz
Doctor Cum Laude in Medicine and Surgery by the Universitat Autónoma of Barcelona and specialist in Dermatology.

She carries out her main professional activity within the skin surgery and oncology unit of the dermatology services of l'Institut Dermatología Garcés y Dermaassociats, both in the Teknon medical center and in the Santa Creu i Sant Pau Hospital, practicing as well in this latter Hospital as a coordinator of the non melonoma skin cancer committee.

Till now, Dr Ruiz has performed more tan 500 Mohs surgeries and paticipates as a professor in the Master of Mohs Micrographic Surgery (UAB), organized by Dr. Garcés.
- More info -

Categories

  • CLINICAL CASES (1)
  • DERMATOLOGICAL SURGERY (2)
  • HEALING (3)
  • SKIN CANCER (1)
  • WELCOME (1)

LINKS OF INTEREST

Spanish Association of Dermatology and Venereology (AEDV)

Spanish Group of Dermato-Oncology and Surgery (GEDOC)

“Life Told by a Sapiens to a Neanderthal” by Juan José Millás and Juan Luis Arsuaga

The authors bring us closer to some of the most relevant milestones that have characterized the evolution of the human species, from the proximity that involves the observation (and experimentation) of different daily situations in our current contemporary environment.

The narration stands out by the comprehensibility and naturalness that are intrinsic to the “one-on-one” dialogues between the 2 authors (the prestigious paleontologist and journalist) and which follow one another throughout the work.

 

“How they rule the world” by Pedro Baños

The author, a Spanish military and Colonel of the Army, exposes the historic background and motivations that have provoked the beginning of the great wars in our time, as well as the keys to exercise geostrategic control by the major world powers.

Besides that, and taking into account that the kind of “weapons” and the way to use them to fight a war have been modified in our current society, some principles described in this book could be easily extrapolated in the field of political influence at the territorial and supranational level.

 

“Ice times” by Fred Vargas

In this book, the author brings us deep into the history of some crimes that took place in the current time and others that happened 50 years ago. The story presents as background the organization of secret meetings that evoke the influence and legacy of the French politician Robespierre and the experiences of a group, with no relationship between the members, during a trip to Iceland.

In my opinion, this book is one of the author´s best novels, that combines on one hand, suspense until the end and on the other hand, some great historical and philosophical concepts.

 

– More info –

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VERÓNICA RUIZ DERMA
  • HOME
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    • English
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