Shave-Exzisionen dysplastischer Nävuszellnävi: Methodisches Vorgehen

Excision of dysplastic nevus as the most frequent surgery of the dermatologist can be conducted minimally invasive as shave excision. In the present report, technical aspects are reviewed: Such as the bolstering up of the dermis by local anaesthetics to hit the right excision level, not too flat because of risk of relapse, not too deep because of risk of unaesthetic scar. A rapid haemostasis is achieved by aluminium chloride solution (Mallebrin®), the wound subsequently may be treated with fusidinic acid (Fucidine®). Pause with coumarine and heparin treatment, general anaesthesia for infants or ban on sports following surgery are not necessary when shave excisions are done. When dysplasia is described in histology, place of surgery will be checked two or three months later and patient will be informed of the risk of nevus recurrence. The less traumatizing procedure of shave excision can be carried out easily immediately following preventive skin cancer check-up and in the hands of a skilled dermatologist mostly achieves good aesthetic result.