title: Pre- and perioperative aspects of dermatosurgery.
abstract: Dermatosurgery occupies an exceptional position among all surgical disciplines. Above all, this includes the fact that, with very few exceptions, the vast majority of surgical interventions can be performed under local or regional anesthesia, usually in smaller procedure rooms that are spatially separated from larger operating suites. Thus, peri- and postinterventional patient monitoring is the responsibility of the dermatosurgeon and his team. Though inherently smaller, this team still has to observe numerous perioperative requirements that - in larger surgical specialties - would be attended to by a host of various specialists working in concert. Said requirements include hygienic aspects, knowledge concerning pre- and intraoperative patient monitoring, managing surgical site infections, adequate postsurgical pain management, as well as detailed pharmacological knowledge with respect to common local anesthetics and the toxic and allergic reactions associated therewith. Not only does this require interdisciplinary collaboration and shared responsibility for the patient. It also necessitates the development and implementation of quality-oriented and evidence-based guidelines that, in the dermatosurgical setting, usually extend far beyond the scope of the specialty per se. The objective of the present CME article is the condensed presentation of interdisciplinary aspects relating to the most important perioperative issues.
authors.affiliation: Department of Dermatology, Saarland University Medical Center, Homburg/Saar, Germany.
authors.forename: Cornelia S L
authors.initials: CS
authors.lastname: Müller
authors.affiliation: Department of Anesthesiology, Intensive Care Medicine and Pain Medicine, Saarland University Medical Center, Homburg/Saar, Germany.
authors.forename: Wakiko
authors.initials: W
authors.lastname: Hubner
authors.affiliation: Institute for Medical Microbiology and Hygiene, Saarland University Medical Center, Homburg/Saar, Germany.
authors.forename: Sigrid
authors.initials: S
authors.lastname: Thieme-Ruffing
authors.affiliation: Department of Dermatology, Saarland University Medical Center, Homburg/Saar, Germany.
authors.forename: Claudia
authors.initials: C
authors.lastname: Pföhler
authors.affiliation: Department of Dermatology, Saarland University Medical Center, Homburg/Saar, Germany.
authors.forename: Thomas
authors.initials: T
authors.lastname: Vogt
authors.affiliation: Department of Anesthesiology, Intensive Care Medicine and Pain Medicine, Saarland University Medical Center, Homburg/Saar, Germany.
authors.forename: Thomas
authors.initials: T
authors.lastname: Volk
authors.affiliation: Institute for Medical Microbiology and Hygiene, Saarland University Medical Center, Homburg/Saar, Germany.
authors.forename: Barbara C
authors.initials: BC
authors.lastname: Gärtner
authors.affiliation: Department of Anesthesiology, Intensive Care Medicine and Pain Medicine, Saarland University Medical Center, Homburg/Saar, Germany.
authors.forename: Patric
authors.initials: P
authors.lastname: Bialas
mesh_terms: D000772:Anesthesia, Local / Q000592:standards*; D019072:Antibiotic Prophylaxis / Q000592:standards*; D062109:Dermatologic Surgical Procedures / Q000009:adverse effects / Q000592:standards*; D004203:Disinfection / Q000592:standards; D019317:Evidence-Based Medicine; D005858:Germany; D006204:Hair Removal / Q000592:standards; D006801:Humans; D019990:Perioperative Care / Q000592:standards*; D017410:Practice Guidelines as Topic; D013530:Surgical Wound Infection / Q000209:etiology / Q000517:prevention & control*