ORIGINAL ARTICLE   Free access

Giornale Italiano di Dermatologia e Venereologia 2020 December;155(6):775-9

DOI: 10.23736/S0392-0488.18.06140-0

Copyright © 2018 EDIZIONI MINERVA MEDICA

lingua: Inglese

Pediatric dermatologic surgery: our experience

Antonella FABIANO, Ruggero MORO ✉, Cristina ZANE, Simone CARAVELLO, Marta FUSANO, Piergiacomo CALZAVARA-PINTON, Giulio GUALDI

Department of Dermatology, ASST degli Spedali Civili, Spedali Civili of Brescia, Brescia, Italy

BACKGROUND: Surgical treatment for pediatric skin disorders is used for diagnostic and therapeutic reasons. We underline these procedures are usually easy and uncomplicated without the need for general anesthesia. Objective of this study was to share our experience in the field of pediatric dermatologic surgery.
METHODS: We retrospectively analysed records of all pediatric patients receiving surgical therapy at the Dermatology Department of Spedali Civili of Brescia. Demographic data and treatments characteristics were recorded and analyzed.
RESULTS: During the study period of one year, 670 surgical treatments concerning pediatric patients were collected. Number of procedures progressively grows with increasing age. All treatments were performed under local anesthesia except for a dermatofibrosarcoma protuberans for which general anesthesia was needed.
CONCLUSIONS: Our data show that cryosurgery, electrodessication and excisional surgery constitute with equal proportion almost the whole of surgical procedures in dermatologic pediatric patients. Dermatologist’s habit to perform surgery in local anesthesia avoids the risk of overtreatments, limits discomfort, anxiety, and pain perception linked to procedures performed.

KEY WORDS: Pediatrics; Dermatology; Surgery