Perioperative evaluation and management in dermatologic surgery

Thorough and efficient perioperative evaluation is mandatory for all patients undergoing dermatologic operation. Patients may present with concise or extensive medical histories, and an organized approach will focus attention on issues relevant to the patient's dermatologic disease and the planned surgical procedure. Management of common perioperative issues in a proactive and standardized manner, with opportunity to individualize decisions when clinical conditions indicate, is an efficient and optimal approach. This review highlights the efficient and thorough evaluation of perioperative issues and suggests guidelines for the optimal management of common perioperative issues, including cardiac devices, antibiotic prophylaxis, and anticoagulation.