Bucher Elizabeth Foley, Kim Andrew, Givan Jason, Maloney Mary E
The Skin Surgery Centre, Metairie, LA.
Department of Dermatology, University of Connecticut Health Center, Farmington, CT.
Int J Womens Dermatol. 2016 Feb 28;2(1):13-17. doi: 10.1016/j.ijwd.2015.12.001. eCollection 2016 Mar.
Thoracic surgical procedures and the use of cardiac devices such as pacemakers are becoming increasingly prevalent in the population. As such, dermatologists may have a greater likelihood of encountering previously implanted or abandoned surgical material in the course of dermatologic surgery on the chest wall. A basic understanding of the wire types and the tunneling paths utilized in such procedures is important in accurately anticipating the presence of these wires to effectively manage any chance encounters.
We present a review on temporary epicardial pacing wires, temporary transvenous pacing wires, pacemaker leads, and surgical steel sutures in the context of dermatologic surgery.
A literature review was performed on frequently used wire material in patients with a history of cardiac surgery as well as related dermatologic complications from these materials.
RESULTS & CONCLUSION: Dermatologic surgeons should particularly be aware that temporary epicardial pacing wires and pacemaker leads are not uncommonly abandoned in the chest wall of many patients. All patients with a cardiac surgery history should be questioned about possible retained wires. If wire material is encountered intraoperatively, immediately stop the procedure and do not attempt further manipulation of the wire until suggested steps are taken to ascertain the wire type.
胸外科手术以及心脏装置如起搏器的使用在人群中越来越普遍。因此，皮肤科医生在胸壁进行皮肤科手术时，更有可能遇到先前植入或废弃的手术材料。对这类手术中使用的导线类型和隧道路径有基本的了解，对于准确预测这些导线的存在，从而有效处理任何意外发现至关重要。
我们在皮肤科手术的背景下，对临时心外膜起搏导线、临时经静脉起搏导线、起搏器导线和外科钢丝缝线进行综述。
对有心脏手术史患者常用的导线材料以及这些材料相关的皮肤科并发症进行文献综述。
皮肤科外科医生应特别注意，许多患者的胸壁中经常会废弃临时心外膜起搏导线和起搏器导线。所有有心脏手术史的患者都应询问是否可能有残留导线。如果术中遇到导线材料，应立即停止手术，在采取建议步骤确定导线类型之前，不要试图进一步操作导线。
