Dermatologic Surgery and Dermatologic Oncology as an Essential Part of the Modern Dermatology in Bulgaria

  • Georgi Tchernev Medical Institute of Ministry of Interior (MVR), Department of Dermatology and Dermatologic Surgery, General Skobelev 79, 1606 Sofia
  • Ilia Lozev Medical Institute of Ministry of Interior, Department of General, Vascular and Abdominal Surgery, General Skobelev 79, 1606 Sofia
  • Torello Lotti University of Rome “G.Marconi”, Rome
  • Uwe Wollina Department of Dermatology and Allergology, Academic Teaching Hospital Dresden-Friedrichstadt, Friedrichstrasse 41, 01067 Dresden
  • Serena Gianfaldoni University G. Marconi of Rome - Dermatology and Venereology, Rome 00192
  • Claudio Guarneri Universita degli Studi di Messina - Clinical and Experimental Medicine, Section of Dermatology, Institute of Dermatology, A.O.U. "G. Martino", Messina 98122
  • Jacopo Lotti Department of Nuclear, Subnuclear and Radiation Physics, University of Rome "G. Marconi", Rome
  • Katlein França Institute for Bioethics & Health Policy; Department of Dermatology & Cutaneous Surgery; Department of Psychiatry & Behavioral Sciences, University of Miami Miller School of Medicine - Miami, FL
  • Atanas Batashki Department of special Surgery, Medical University of Plovdiv, bul. "Peshtersko shose" Nr 66, 4000, Plovdiv
  • Anastasiya Chokoeva Medical University Plovdiv - Dermatology and Venereology, Vasil Aprilov 15A , Plovdiv 4000, Bulgaria
Keywords: dermatology, dermatologic surgery, dermatologic oncology, melanoma, island flap

Abstract

Dermatosurgery and dermatooncology are an integral part of dermatology as a speciality, and this postulate is strictly respected in a high percentage of European dermatological units. Due to the fact that a number of other specialties interweave with the subject of therapy - the surgical treatment of the patient with skin tumors, the positioning of dermatosurgery as part of dermatology is generally controversial (according to some), and at the same time is often the subject of a number of debates and conflicts. These include maxillofacial surgeons, plastic surgeons, regenerative and reconstructive surgeons, surgical and medical oncologist, etc. The advantages of these specialities are mainly based on good medical practice and good surgical techniques that are applied. In contrast, their disadvantages are based on the lack of good awareness of the initial surgical approach as well as the need for time-adjusted and accurately performed additional surgical interventions which should befurthermore careful scheduled with the relevant oncology units. Losing this thread, in practice, it turns out that we are losing the patients themselves or, looking laconically, we are working with reduced efficiency and effectiveness. Although for the last 15 years the positions of these sub-sectors in Bulgaria had been underdeveloped, a certain ascent has been observed nowadays or from a couple of years ago. This advance is undoubtedly due to the influence of the German Dermatological School, presented by Prof. Dr. Uwe Wollina, Head of Department of Dermatology, Venereology and Allergology in Dresden, Germany, as well as due to other respected representative of the Italian Dermatological School - in the face of Prof. Dr. Torello Lotti, Head of the Dermatology Unit at G Marconi University of Rome, Italy.

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References

δέÏμα, Henry George Liddell, Robert Scott, A Greek-English Lexicon, on Perseus.

δέÏω, Henry George Liddell, Robert Scott, A Greek-English Lexicon, on Perseus Digital Library.

Freedberg, et al. Fitzpatrick's Dermatology in General Medicine. (6th ed.). McGraw-Hill Professional, 2003:3.

Published
2017-07-18
How to Cite
1.
Tchernev G, Lozev I, Lotti T, Wollina U, Gianfaldoni S, Guarneri C, Lotti J, França K, Batashki A, Chokoeva A. Dermatologic Surgery and Dermatologic Oncology as an Essential Part of the Modern Dermatology in Bulgaria. Open Access Maced J Med Sci [Internet]. 2017Jul.18 [cited 2020Oct.30];5(4):518-20. Available from: https://www.id-press.eu/mjms/article/view/oamjms.2017.118

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