Narrative review on perioperative management in dermatologic surgery

Dermatologic surgery is increasingly performed in patients with comorbidities and chronic treatments, requiring rigorous assessment to ensure appropriate perioperative management. The lack of specific guidelines addressing the heterogeneity of surgical procedures in our specialty is challenging. This study integrates a literature review with the experience accumulated at our institution in the form of practical management guidance for the dermatologic surgeon. Recommendations are provided on the management of drugs affecting platelet aggregation and coagulation, implantable cardiac devices, antibiotic prophylaxis, and diabetes-related complications in the context of dermatologic surgery. This manuscript aims to serve as a practical review to guide perioperative management in our specialty, bridging gaps in the literature and aligning with evidence-based practices from other surgical fields.