๐ ็ธฝ็ฎ้ ๏ฝ ๐ ่ฑๆๅๆ๏ผๆฌ็ฏ๏ผ ๏ฝ ๐ ๅฎๆด็ฟป่ญฏ ๏ฝ โญ ็ฒพ่ฏ็ญ่จ
HISTORY REVIEW
HISTORY REVIEW
A standard review of medications, allergies, and past medical history must be obtained for every preoperative evaluation. In particular, the presence of a pacemaker,
defibrillator, or the use of anticoagulation may impact surgical decision making and techniques, including the type of electrosurgery used, the type of closure chosen, or the type of dressing applied. A history of smoking portends poor wound healing, making a large flap or graft less desirable due to higher risk of failure. A history or alcohol or other substance abuse carries risks of poor wound healing, bleeding, and possible poor compliance with postoperative instructions. A history of radiation treatment to the surgical area increases risks of poor wound healing and tissue mobility. Any positive history should best be shared with the entire team for planning and implementation of the safest care.