Preventing complications in dermatologic surgery: Presurgical concerns - 10/03/21

Doi : 10.1016/j.jaad.2020.10.099

Allen G. Strickler, MD, PhD, MPH ^a,^b,^⁎ , Payal Shah, BS ^c, Shirin Bajaj, MD ^d, Richard Mizuguchi, MD ^e, Rajiv I. Nijhawan, MD ^f, Mercy Odueyungbo, MD ^g, Anthony Rossi, MD ^h, Désirée Ratner, MD ^d
^a Department of Dermatology, Geisinger Medical Center of Geisinger Commonwealth School of Medicine, Danville, Pennsylvania
^b Department of Laboratory Medicine, Geisinger Medical Center of Geisinger Commonwealth School of Medicine, Danville, Pennsylvania
^c School of Medicine, New York University Langone Health, New York, New York
^d Department of Dermatology, New York University Langone Health, New York, New York
^e Department of Dermatology, Mount Sinai Medical School, New York, New York
^h Weill Cornell Medical College, Memorial Sloan Kettering Cancer Center, New York, New York
^f Department of Dermatology, University of Texas Southwestern Medical Center, Dallas, Texas
^g Lilly Dermatology, Munising, Michigan

^∗Correspondence to: Allen G. Strickler, MD, PhD, MPH, Departments of Dermatology and Laboratory Medicine, Geisinger Medical Center, 100 N Academy Ave, Danville, PA 17821.Departments of Dermatology and Laboratory MedicineGeisinger Medical Center100 N Academy AveDanvillePA17821

Abstract

Cutaneous surgery has become critical to comprehensive dermatologic care, and dermatologists must therefore be equipped to manage the risks associated with surgical procedures. Complications may occur at any point along the continuum of care, and therefore assessing, managing, and preventing risk from beginning to end becomes essential. This review focuses on preventing surgical complications pre- and postoperatively as well as during the surgical procedure.

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Key words : antibiotic prophylaxis, anticoagulation medication, antiseptic, complications, cryosurgery, dermatologic surgery, dermatologic surgery complications, local anesthetic, preventing surgical patient consent

Abbreviations used : BCC, CHG, ED&C, LAs, MMS, NMSCs, PDT, PI, RT, SCC, SSI, WSPs

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Patient selection

Key points

Special patient characteristics

Key points

Antithrombotic medications

Key points

Presurgical identification of patients at increased risk of infection

Key points

Surgical site preparation

Key points

Anesthetics

Key points

Preventing wrong-site procedures

Key points

Conclusion

	Funding sources: None.
	IRB approval status: Not applicable.
	Date of release: April 2021.
	Expiration date: April 2024.

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Vol 84 - N° 4

P. 883-892 - aprile 2021 Ritorno al numero

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Preventing complications in dermatologic surgery: Presurgical concerns - 10/03/21

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