[Dermatologic surgery during pregnancy and lactation].

Dermatologie (Heidelb)

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

Published: November 2024

AI Article Synopsis

  • Patients may need dermatologic surgeries during pregnancy or breastfeeding, but there are often no established guidelines or approved drugs for these situations.
  • The article highlights common skin conditions treated surgically during these periods and outlines the specific precautions and risks involved.
  • While surgery can be done safely at any stage, the second trimester and right after delivery are the best times; immediate intervention is crucial for serious conditions like melanoma without causing delay for non-surgical treatments.

Article Abstract

It may be necessary for patients to undergo (dermato-)surgical procedures during pregnancy or lactation. Often, there are no drug approvals or guidelines in this context. The following article describes the most common dermatologic surgical conditions during pregnancy and lactation, as well as the special therapeutic considerations and risks to be aware of during treatment. Dermatosurgical procedures are subject to strict indications. Most of these procedures can be performed during pregnancy, but the risks to the mother and fetus must be carefully weighed against the disadvantages of nonsurgical therapy. Although surgery can be performed safely in any trimester, the second trimester and immediate postpartum period are optimal. Surgery should not be delayed for melanoma or high-risk skin cancer. Perioperative positioning and choice of analgesics, antiseptics, anesthetics and antibiotics must be considered carefully to avoid risks to the patient, fetus and infant.

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Source
http://dx.doi.org/10.1007/s00105-024-05418-4DOI Listing

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