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Anais Brasileiros de Dermatologia
On-line version ISSN 1806-4841
PIMENTEL, Eugênio Raul de Almeida; OLIVEIRA, Juliana Pedroso de; BLOCH, Leila David and NIWA, Anne Beatriz Mautari. Risk of complications during dermatologic surgery: protocol for excisional surgery. An. Bras. Dermatol. [online]. 2005, vol.80, n.5, pp.493-498. ISSN 1806-4841. http://dx.doi.org/10.1590/S0365-05962005000600007.
BACKGROUND: Dermatologic surgery is a common daily practice for dermatologists and it is necessary to carry out studies to demonstrate safety of these procedures. OBJECTIVES: To create a protocol to assess risk of complications during and immediately after dermatologic surgery, mainly in patients with comorbid conditions. METHODS: From January 2001 to November 2003, 860 excisional surgeries were performed and all procedures were recorded according to the following variables: age and sex, type of excised lesion, comorbidity, use of medications, size of elliptical excision, duration of surgery, amount and type of anesthetic used, blood pressure. The variables were correlated with risk of complications. RESULTS: Out of 860 patients submitted to surgery, 64.6% did not present any complication, 34.6% had high blood pressure with no clinical significance, 0.5% had major but controllable bleeding, and two patients had hypotension. CONCLUSION: Dermatologic surgery is safe and may be performed in private offices or outpatient clinics, and, in most cases, they consist of small and quick procedures, with low risk of complications.
Keywords : Intraoperative complications; Blood pressure; Outpatient surgical procedures.