Cutaneous Surgery in Patients Who Are Pregnant or Breastfeeding

Research output: Contribution to journalReview article

Abstract

Dermatologic surgery in pregnant/postpartum patients requires deliberate consideration. Although surgery can be safely performed during any trimester, the second trimester and immediate postpartum period is optimal. Surgery should not be delayed for melanoma/high-risk skin cancers. Perioperative positioning, analgesic, antiseptic, and antibiotic selection should be deliberate to avoid risk to the patient/fetus/infant. The left lateral tilt position reduces aortocaval compression syndrome. Lidocaine and epinephrine can be used safely. Alcohol and chlorhexidine are considered safe. Antibiotics commonly used in skin surgery are safe in pregnancy and lactation. Acetaminophen is first line for pain management. Nonsteroidal antiinflammatory drugs should be avoided.

Original languageEnglish (US)
JournalDermatologic Clinics
DOIs
StatePublished - Jan 1 2019

Fingerprint

Dermatologic Surgical Procedures
Breast Feeding
Postpartum Period
Anti-Bacterial Agents
Local Anti-Infective Agents
Chlorhexidine
Second Pregnancy Trimester
Skin Neoplasms
Pain Management
Acetaminophen
Lidocaine
Lactation
Epinephrine
Analgesics
Melanoma
Fetus
Anti-Inflammatory Agents
Alcohols
Pregnancy
Pharmaceutical Preparations

Keywords

  • Cutaneous surgery
  • Dermatologic surgery
  • Lactation
  • Melanoma
  • Pregnancy

ASJC Scopus subject areas

  • Dermatology

Cite this

Cutaneous Surgery in Patients Who Are Pregnant or Breastfeeding. / Li, Jeffrey N.; Nijhawan, Rajiv I; Srivastava, Divya.

In: Dermatologic Clinics, 01.01.2019.

Research output: Contribution to journalReview article

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KW - Lactation

KW - Melanoma

KW - Pregnancy

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