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Comment
. 2022 Sep 1;48(9):924-926.
doi: 10.1097/DSS.0000000000003530. Epub 2022 Jul 15.

Perioperative Practices in Dermatologic Surgery

Stephen P Erickson  1 , Samantha L Schneider  2 , Joel L Cohen  3   4 , Murad Alam  5   6   7   8 , Martha Laurin Council  1
Affiliations
Comment

Perioperative Practices in Dermatologic Surgery

Stephen P Erickson et al. Dermatol Surg. .

Abstract

Background: Mohs micrographic surgery is generally safe and well tolerated. Various perioperative practices are employed with the aim of reducing adverse events; however, implementation is variable, and limited efficacy data are available.

Objective: This study sought to assess perioperative practice patterns among dermatologic surgeons with regards to antibiotic prophylaxis (AP), anticoagulation, activity restrictions, and antiseptic choice.

Methods and materials: Two surveys were distributed by the American College of Mohs Surgery (ACMS) and the American Society for Mohs Surgery (ASMS) to their membership via email.

Results: One hundres seventy-seven surgeons participated, with membership from ACMS (61%), ASMS (35%), or both organizations (4%) represented. Systemic AP is prescribed preoperatively by 96% (162/168) and postoperatively by 91% (161/177) of surgeons for variable clinical indications. Therapeutic antiplatelet and anticoagulant medications are rarely held (3%-5%, 4-7/149), whereas preventative aspirin (30%, 45/149), NSAIDs (25%, 36/145), and supplements known to have an anticoagulant effect (54%, 80/149) are more commonly held. Antiseptic choice and recommended activity restrictions vary.

Conclusion: Perioperative practices of dermatologic surgeons are variable and, where applicable, may deviate from guidelines. These findings underscore the need for standardization and updated guidelines for perioperative practices in dermatologic surgery.

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References

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