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Perioperative Practices in Dermatologic Surgery.

Stephen P Erickson1, Samantha L Schneider2, Joel L Cohen3,4

  • 1Division of Dermatology, Department of Medicine, Washington University School of Medicine, St. Louis, Missouri.

Dermatologic Surgery : Official Publication for American Society for Dermatologic Surgery [Et Al.]
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Summary
This summary is machine-generated.

Dermatologic surgeons exhibit variable perioperative practices, including antibiotic prophylaxis and medication management, potentially deviating from guidelines. Standardization and updated guidelines are needed for Mohs surgery patient care.

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Area of Science:

  • Dermatologic Surgery
  • Surgical Oncology
  • Patient Safety

Background:

  • Mohs micrographic surgery is a widely used, safe procedure.
  • Current perioperative practices vary, with limited data on their effectiveness in preventing adverse events.

Purpose of the Study:

  • To evaluate current perioperative practices among dermatologic surgeons.
  • Focus areas include antibiotic prophylaxis, anticoagulation management, activity restrictions, and antiseptic selection.

Main Methods:

  • Two surveys were distributed to members of the American College of Mohs Surgery (ACMS) and the American Society for Mohs Surgery (ASMS).
  • 177 surgeons participated, representing diverse organizational affiliations.

Main Results:

  • High rates of preoperative (96%) and postoperative (91%) antibiotic prophylaxis were reported.
  • Therapeutic anticoagulants were rarely discontinued, but preventative aspirin (30%), NSAIDs (25%), and anticoagulant supplements (54%) were more frequently held.
  • Practices regarding antiseptic choice and activity restrictions showed variability.

Conclusions:

  • Dermatologic surgeons' perioperative practices are inconsistent and may not align with existing guidelines.
  • There is a clear need for standardized protocols and updated guidelines to improve perioperative care in dermatologic surgery.