Management of anticoagulation during dermatosurgical procedures in Germany – results from a cross‐sectional study

Abstract

Large differences in the perioperative management of anticoagulant therapy during dermatosurgical procedures have been identified. Further studies and guidelines should be developed.

Prospective multicentre cohort study on 9154 surgical procedures to assess the risk of postoperative bleeding – a DESSI study

“…The perioperative management of patients taking anticoagulation therapy is a challenge for all surgical specialties, and physicians are confronted with the decision of whether to continue or discontinue drugs …”

“…The perioperative management of patients taking anticoagulation therapy is a challenge for all surgical specialties, and physicians are confronted with the decision of whether to continue or discontinue drugs. [1][2][3][4][5][6][7] The standard anticoagulation therapy after placement of coronary artery stents is clopidogrel and acetylsalicylic acid (ASA), which is also used for patients with unstable angina or after a non-ST-segment elevation myocardial infarction. [8][9][10] Phenprocoumon or warfarin is often used after thrombosis or pulmonary embolism and may be combined with ASA for patients with mechanical heart valves.…”

“…Large differences in the perioperative management of anticoagulant therapy during dermatosurgical procedures have been identified. 4 There are only some practitioners who refer patients to a dermatologic surgeon without stopping anticoagulants, as the general knowledge still is that all blood thinners have to be stopped prior to any surgery. The aim of this large, prospective, multicentre data collection of 9154 interventions should reflect everyday reality in dermatologic surgery in Germany.…”

Risk of complications due to anticoagulation during dermatosurgical procedures: a systematic review and meta‐analysis

“…The perioperative management of these medications remains a challenge for most dermatologists. In dermatology but also in other disciplines, health care research has shown large heterogeneity in the perioperative management of anticoagulation . In a cross‐sectional study in Germany, 40% of the dermatologists working in dermatosurgery in hospitals would recommend stopping low‐dose (<100 mg) aspirin prior to large excision, whereas 54% would recommend to continue the treatment (no answer 6.2%).…”

Heridas quirúrgicas agudas. Tipos y complicaciones

“…Actualmente, y como norma general, no está justificada la retirada de estos fá rmacos durante una cirugía dermatoló gica convencional, salvo petició n expresa de otro especialista 11 .…”