The theme of surgical prophylaxis is widely discussed by dermatologists; however, there is a lack of consensus regarding both opinions and published studies.A review of papers relating to the use of antibiotics and antivirals in prophylaxis was conducted in order to organize the existing data and provide dermatologists with a better foundation for making decisions.The literature review was performed using Medline and Cochrane Library databases. ecommendations of prophylaxis in several common situations in the dermatologist''''''''s daily experience, in addition to suggestions of prophylactic medications, were made based on these studies.The critical and evidence based approach in medicine provides support to the decision making process. Nevertheless, dermatologists should neither dismiss their own clinical experience nor underestimate the physician''''''''s individual ability to conduct the clinical analysis of patients.

Keywords: ANTIBIOTIC PROPHYLAXIS, SURGERY, DERMATOLOGY

Large surgical wounds can be closed using flaps or grafts, which are often difficult to carry out. The double cerclage technique is an effective option for direct – though partial – closure of this type of incision. The technique will be demonstrated using an illustrative case.

Keywords: BLOODLESS MEDICAL AND SURGICAL PROCEDURES, LASER THERAPY, BOTULINUM TOXINS, AMBULATORY SURGICAL PROCEDURES