Safety in Dermatologic Procedures: How to Prevent, Recognize, and Treat Bleeding Complications in Dermatologic Surgery

Nov. 19, 2021

While complications in dermatological surgery are infrequent, a considerable proportion are
due to major perioperative or postoperative bleeding (i.e. bleeding that does not subside with
compression measures). In a study of a large series of patients who underwent Mohs
micrographic surgery, complications occurred in approximately 2% of patients, and
corresponded to postsurgical bleeding in 40% of cases.1 Although this complication does not
usually have major implications (a decrease in hematocrit requiring blood transfusion occurred
in very few cases), it can occasionally lead to infection of the surgical wound, suture
dehiscence, or necrosis of the flap or graft.

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