The main attraction of this text is its simplicity. The text assumes a significant level of basic surgical skill and was produced as a teaching aid for doctors of any discipline involved with skin cancer management who wish to expand their skills in defect repairs by providing experience on a whole range of repair options for cutaneous defects without the need to see each one firsthand in an operating theatre. The layout is designed so the practitioner can look up very easily, prior to any surgery, the chapter covering that particular anatomical subunit and see a list of all the different repairs used successfully in that area with written descriptions, associated images and accompanying short videos showing the planning and the procedure for each repair option.
The second edition offers the reader a number of significant improvements on the first edition. Multiple authors from a variety of countries have reviewed each original anatomical subunit repair option chapters and added, where appropriate, some new repairs, new images and new graphics. This gives the new edition a broader international perspective.
There are also two new chapters, one examining complication prevention and management and the other examining a multidisciplinary approach to managing cutaneous malignancy. These two chapters provide a greater depth of information related to preparation and planning prior to surgery, as well as how to manage postoperative difficulties if they arise. Much of the preparation and planning outlined is a guide to producing the best possible outcome for patients, and minimising the risk of complications.
The chapter on complications begins by describing both early and late complications and how to anticipate and avoid them, then goes on to describe in detail how to manage each specific problem if it does occur. This is essential knowledge for those who are starting out in dermatologic surgery. It also provides in detail the current standards of preparation and care for more experienced surgeons.
The chapter on the multidisciplinary approach to dermatologic surgery describes all the other specialised disciplines that may be required in managing difficult or complicated cutaneous neoplasia. The authors have provided clearly defined indications for considering involvement of Mohs surgery, radiation oncology, plastic and oculoplastic surgery and others. Generally, involvement of other disciplines in skin cancer management is best anticipated and arranged beforehand. However, sometimes difficulties can’t be anticipated. It is therefore wise for the practitioner managing cutaneous malignancy to have strong relationships with members of these other disciplines to be able to call on their expertise at any stage during the management timeline to achieve the best possible outcome for the patient.
It is with great pleasure that I recommend the second edition of this text to you and I congratulate Associate Professor Duncan Stanford and Dr Leslie Storey for their efforts in successfully moulding the input of a large number of authors into a wonderful text that is a substantial improvement on its first edition.
Associate Professor Robert Paver
MBBS, FACD, FACMS