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Narrative Review on Perioperative Management in Dermatologic Surgery.

A Prados-Carmona¹, F M Almazán-Fernández², R Ruiz Villaverde¹

¹Department of Dermatology, Hospital Universitario San Cecilio, Granada, Spain; Instituto Biosanitario de Granada, IBS, Granada, Spain.

Actas Dermo-Sifiliograficas

|May 15, 2026

Summary

This summary is machine-generated.

This study offers practical guidance for dermatologic surgeons managing patients with comorbidities. It addresses perioperative concerns like medication management and cardiac devices for safer dermatologic surgery.

Keywords:

Antithrombotic therapies Chronic medication Dermatologic surgery Diabetes Evidence-based medicine Implantable cardiac devices Infection prophylaxis Patient safety Perioperative complications Perioperative management Practical guideline

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Area of Science:

Dermatology
Surgical Management
Internal Medicine

Background:

Dermatologic surgery is frequently performed on patients with multiple health issues and ongoing treatments.
Managing these patients requires careful assessment due to the lack of specific guidelines for diverse dermatologic procedures.

Purpose of the Study:

To provide practical, evidence-based guidance for dermatologic surgeons on perioperative management.
To address the heterogeneity of surgical procedures and patient comorbidities in dermatologic surgery.

Main Methods:

A comprehensive literature review was conducted.
Institutional experience and accumulated data were integrated to form practical recommendations.

Main Results:

The study offers recommendations on managing medications affecting platelet aggregation and coagulation.
Guidance is provided for implantable cardiac devices, antibiotic prophylaxis, and diabetes-related complications during dermatologic surgery.

Conclusions:

This review bridges existing gaps in the literature regarding perioperative care in dermatologic surgery.
The guidance aims to align dermatologic surgical practices with evidence-based standards from other surgical fields.