๐ ็ธฝ็ฎ้ ๏ฝ ๐ ่ฑๆๅๆ๏ผๆฌ็ฏ๏ผ ๏ฝ ๐ ๅฎๆด็ฟป่ญฏ ๏ฝ โญ ็ฒพ่ฏ็ญ่จ
CONSULTATION
CONSULTATION
Preoperative discussion should focus on educating the patient about the procedure, ensuring that the patient is an appropriate candidate, and obtaining informed consent. Peri- and postoperative treatment expectations should be addressed, and complimented by general information about vitiligo and the natural history of this disease. A detailed history and physical examination, including a review of past medical history, current medications, and drug allergies, is necessary to ensure that the patient can safely undergo surgery. Procedural risks, including infection, bleeding, scarring, and pain, should be discussed. It is also crucial that appropriate expectations be set; the lengthy process of repigmentation and color matching should be emphasized, which may take several months to years. Patients should also be aware that they may require adjuvant therapy, including additional surgeries, to maximize treatment response. Providers must
also be clear that surgery is a treatment and not a cure for vitiligo, even in patients with stable disease, as reactivation is always possible.