title: Management of tattoos in the operative field.
abstract: Tattooing is increasingly common in Western society. The aim of the study was to create an overview of the surgical options when a tattoo is present in the operative site and to present an algorithm for the surgical plan.A literature-based study was conducted, using the Pubmed database. The following search terms have been used: "tattoo" in combination with "incision," "scar," and "surgery." Apart from the literature, we also used our own clinical experience with the tattoos.An overview is presented on the different options when a tattoo is at risk because of a surgical intervention. An algorithm is presented to help surgeons to choose the best option before the operation.By realizing that a tattoo can be of great value to a patient and by using surgical skills to preserve the tattoo as much as possible, it becomes possible to increase patient satisfaction in these difficult cases.
authors.affiliation: Department of Plastic and Reconstructive Surgery, Catharina Hospital Eindhoven, Eindhoven, The Netherlands. jermasmit@gmail.com
authors.forename: Jeroen M
authors.initials: JM
authors.lastname: Smit
authors.forename: Karin
authors.initials: K
authors.lastname: Scheele
authors.forename: Oren
authors.initials: O
authors.lastname: Lapid
authors.forename: Maarten M
authors.initials: MM
authors.lastname: Hoogbergen
mesh_terms: D000465:Algorithms; D062109:Dermatologic Surgical Procedures; D006801:Humans; D019651:Plastic Surgery Procedures / Q000379:methods*; D013653:Tattooing