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[Dermatologic surgery during pregnancy and lactation].

Daniel Czesla1, Moritz Felcht2

  • 1Zentrum für Dermatochirurgie, St. Josefskrankenhaus, Akademisches Lehrkrankenhaus, Medizinische Fakultät Mannheim, Universität Heidelberg, Landhausstr. 25, 69115, Heidelberg, Deutschland.

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Summary

Dermatosurgical procedures during pregnancy and lactation require careful risk assessment. While most procedures are safe, especially in the second trimester, specific considerations for maternal and fetal well-being are crucial.

Keywords:
AestheticsBasal cell carcinomaBotulinu toxineDermatosurgeryMerkel cell carcinomaPhlebologySquamous-cell carcinoma

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Area of Science:

  • Dermatology
  • Surgical Procedures
  • Obstetrics

Context:

  • Management of dermatologic conditions during pregnancy and lactation presents unique challenges due to limited drug approvals and guidelines.
  • Patients may require dermatologic surgical interventions during sensitive periods of pregnancy and breastfeeding.

Purpose:

  • To outline common dermatologic surgical conditions encountered during pregnancy and lactation.
  • To detail special therapeutic considerations, including risks and benefits, for performing dermatosurgery in these patient populations.
  • To provide guidance on safe surgical practices, anesthetic choices, and perioperative care.

Summary:

  • Dermatosurgical procedures can be performed during pregnancy and lactation under strict indications, with careful risk-benefit analysis.
  • The second trimester and immediate postpartum period are considered optimal times for elective procedures.
  • Urgent cases, such as melanoma or high-risk skin cancer, should not be delayed; careful selection of perioperative medications and patient positioning is essential to minimize risks to the mother, fetus, and infant.

Impact:

  • Provides essential clinical guidance for healthcare providers managing pregnant and lactating patients requiring dermatologic surgery.
  • Enhances patient safety by highlighting critical considerations for anesthetic agents, analgesics, and antibiotics.
  • Supports informed decision-making regarding the necessity and timing of surgical interventions during pregnancy and lactation.