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by Verónica Ruiz 14 de May de 2021

SURGICAL DERMATOLOGY

MOHS SURGERY

Mohs micrographic surgery is a specific surgical technique for the treatment of certain skin tumor types that allows to achieve maximum therapeutic efficacy (close to 100%) while preserving the as much healthy tissue as possible.

This modality allows the excision and study of the entire excised sample by stages or stages until complete tumor excision is achieved.

Most of the tumors treated with Mohs surgery fall into the category of non-melanoma skin cancer, the most frequent being basal cell carcinoma and superficial forms of dermatofibrosarcoma protuberans.

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Conventional surgery

This technique involves excising skin injuries with predetermined margins of clinically normal tissue around the injuries, followed by a postoperative histological examination of the excised specimen.

Unlike Mohs surgery, the main disadvantage of conventional surgery is the inability to examine the entire margins of the injuries (both peripherally and in depth) and the removal of a greater amount of healthy tissue around it.

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Pinch grafting

The technique of pinch grafting is used specially in the treatment of chronic ulcers of different causes or usually located on the legs.  The technique consists of the transplantation of small pieces of shaved superficial skin, from another body area of healthy skin, to the skin injury that we want to treat in order to be able to close the wound.

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Cryosurgery

The cryosurgery consists of the destruction of tissue by freezing.  It is a widely used technique in dermatological consultation, simple to perform, effective and with good cosmetic results. It is generally used to treat superficial skin injuries, whether benign or malignant.

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Electrosurgery

Electrosurgery is a minor dermatological surgery technique that we often use in our practice to provide cutting or destruction of superficial skin tissue using an electrosurgical or electrical scalpel.

We usually use the electric scalpel for the treatment and elimination of benign skin injuries and some very superficial malignant injuries in certain patients.

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Skin Biopsy

Skin biopsy consists in obtaining a skin sample for diagnostic purposes and at the same time, on some occasions, allows treating a specific isolated skin injury.

In many occasions, the histopathological examination of the skin sample extracted will offer us an exact or very approximate diagnosis of a certain disease and, in this way, we will be able to propose the most appropriate treatment to the patient.

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Nail biopsy

It is a useful technique especially when we are faced with isolated nail injuries, and in patients who do not have typical skin injuries from which a diagnosis could be made more easily.

The objective of the nail biopsy is to achieve an accurate diagnosis of the pathology of the nail through a simple and safe surgical procedure that allows to direct the treatment in an appropriate way.

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Photodynamic Therapy

Photodynamic therapy is a non-invasive treatment modality that is used for the selective elimination of certain superficial types of skin cancer.

It is technique that offers very good cosmetic results, causing minimal damage to the surrounding skin, as it only targets cancer cells (or neoplasms).

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GENERAL DERMATOLOGY

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.
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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
  • ABOUT MYSELF
  • SERVICES
  • PATIENT CARE
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    • COURSES AND CONGRESSES
  • GRATITUDE
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  • English
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    • Castellano
    • English
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