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Blood pressure levels decrease during Mohs micrographic surgery.

J Alcalay1, R Alkalay, E Grossman

  • 1Mohs Surgery Unit, Assuta Medical Center, Tel-Aviv, Israel. alcalays@zahav.net.il

Journal of Drugs in Dermatology : JDD
|July 12, 2005
PubMed
Summary
This summary is machine-generated.

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Patients undergoing Mohs micrographic surgery (MMS) under local anesthesia experienced a significant decrease in blood pressure (BP). Elevated BP patients had good surgical outcomes, indicating safety for this group.

Area of Science:

  • Dermatology
  • Cardiology
  • Surgical Anesthesia

Background:

  • Elevated blood pressure (BP) often precludes surgery due to cardiovascular risks.
  • Mohs micrographic surgery (MMS) is a dermatologic procedure requiring careful patient selection.
  • The study investigated BP changes and outcomes in patients undergoing MMS under local anesthesia.

Purpose of the Study:

  • To evaluate the effect of prolonged surgery under local anesthesia on BP levels.
  • To compare surgical outcomes between patients with elevated and normal BP.
  • To assess the safety of MMS for patients with pre-existing hypertension.

Main Methods:

  • 121 patients (mean age 60 years, 65 males) undergoing MMS were studied.
  • 46 patients had a history of hypertension.

Related Experiment Videos

  • Blood pressure was measured 5 times during surgery in the supine position using an automated device.

    • Main Results:

    • Mean BP decreased significantly from 152/85 mmHg at baseline to 139/79 mmHg at surgery's end (p < .05).
    • The proportion of patients with elevated BP decreased from 34% at baseline to 18% after the first stage.
    • No significant difference in surgical outcomes was observed between patients with initially elevated BP and those with normal BP.

    Conclusions:

    • Blood pressure levels decrease during MMS performed under local anesthesia.
    • Patients with elevated blood pressure demonstrate good surgical outcomes.
    • MMS under local anesthesia can be safely performed on patients with elevated blood pressure.