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October 2014

The Subcutaneous Splint: A Helpful Analogy to Explain Postoperative Wound Eversion

Author Affiliations
  • 1Perelman School of Medicine, University of Pennsylvania, Philadelphia
  • 2Florida Center for Dermatology, P.A., St Augustine
JAMA Dermatol. 2014;150(10):1122. doi:10.1001/jamadermatol.2014.556

Dermatologists are responsible for a large proportion of surgical reconstructive procedures in the United States. As the number of surgical encounters increases with our aging population, we as physicians continue to encounter new patients for whom the immediate postoperative appearance of a surgical site represents a novel experience.

Appreciating the importance of allaying patient anxiety and managing patient expectations is a critical, and often underappreciated, area of dermatologic surgery. It is also one of the marks of the experienced and accomplished dermatologic surgeon. While physicians tend to focus on long-term outcomes of surgical reconstruction, patients may be concerned by the immediate postoperative appearance of the reconstructed wound.1

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