ANTIPLATELET AND ANTICOAGULANT THERAPY IN DERMATOLOGICAL SURGERY – CLINICAL PRACTICE RECOMENDATIONS
Abstract
Introduction: Management of antithrombotic therapy is not a consensual topic in the field of dermatologic surgery. Skin surgeons must weigh the risk of bleeding against the thrombotic risk when deciding how to manage those drugs in the perioperative setting.
Material and Methods: The authors reviewed the literature in order to provide clinical practice guidelines for the management of these patients.
Results: There are few significant studies published in this area, and sometimes presenting different approaches and recommendations. The main objective for the dermatologic surgeon should be to optimize surgical outcomes without forgetting the thrombotic and hemorrhagic risks inherent to the patient and the surgical procedure.
Conclusions: We recommend the continuation of antithrombotics during low bleeding risk surgery. In patients with high thromboembolic risk we recommend the continuation of antithrombotic drugs in low bleeding risk surgeries, and its eventual suspension with bridging in high bleeding risk surgeries. However, these global recommendations should not outweigh an individualized approach of each particular patient.
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References
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