A Quasi-Experimental Study of Cosmetic Outcomes on Shave Excision for the Treatment of Acquired Melanocytic Nevi: A Pakistani Tertiary Care Hospital Experience: Cosmetic Outcomes on Shave Excision for the Treatment of Acquired Melanocytic Nevi

Ayesha Noreen; Muhammad Aslam Javed; Sadaf Amin; Zouina Sarfraz; Vishal farid Raza; Tariq Rashid

doi:10.37978/tijfs.v5i2.370

Authors

Ayesha Noreen Department of Dermatology, Sir Ganga Ram Hospital, Lahore, Pakistan Author
Muhammad Aslam Javed Department of Surgery, Sir Ganga Ram Hospital, Lahore, Pakistan Author
Sadaf Amin Department of Dermatology, Sir Ganga Ram Hospital, Lahore, Pakistan Author
Zouina Sarfraz Department of Surgery, Sir Ganga Ram Hospital, Lahore, Pakistan Author
Vishal farid Raza Department of Surgery, Sir Ganga Ram Hospital, Lahore, Pakistan Author
Tariq Rashid Department of Dermatology, Jinnah Hospital, Lahore, Pakistan Author

DOI:

https://doi.org/10.37978/tijfs.v5i2.370

Keywords:

Cosmetics, Outcomes, Shave, Excision

Abstract

This study aimed to assess the cosmetic outcomes of shave excision for the treatment of acquired melanocytic nevi in a Pakistani tertiary care setting.

In total, 120 patients were enrolled in this study. All patients underwent shave excision upon being administered with intra-lesional local anesthesia (2% lignocaine with adrenaline). The lesion was shaved with a 15 number Bald Parker blade. Hemostasis was secured by pressure and 20% aluminum chloride solution. The final cosmetic outcomes (excellent, acceptable, or poor) were assessed three months post-shave excision. Statistical analysis was performed using SPSS, v22. Data were evaluated using chi-square tests, and the phi coefficient. A P value of less than 0.05 was considered statistically significant to determine associations of age and gender to cosmetic outcomes.

The mean age of included patients was 29.7±7.4 years. There were 30 (25%) male and 90 (75%) female patients. Out of these, 35 (29.2%) patients had excellent outcomes, 75 (62.5%) patients had acceptable and 10 (8.3%) patients had a poor outcome. The associations of gender and age to dermatological outcomes post-excision were significant (P<0.001). Sufficient evidence was collated to determine a relationship between age (Pearson Chi-Square = 113.94) and gender (Pearson Chi-Square = 97.143) to cosmetic outcomes (P<0.001). The phi (?) coefficient also confirmed the significance of positive associations between the cosmetic outcomes to gender and age (?= 0.974).

Shave excision presents as an exceedingly useful and inexpensive method for the removal of acquired melanocytic nevi especially in a low and middle-income country like Pakistan.

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