Philipp Cramer* and Krosta
Purpose: This study examines the incidence and management of post-operative haemorrhage following outpatient dermatosurgery, with a particular focus on the differences between unilateral and bilateral surgery. With the increasing popularity of outpatient dermatosurgery, which is characterised by shorter waiting times, less administrative burden, and a faster return of patients to their usual environment, this study discusses both the benefits and challenges of this development.
Methods: In a prospective observational study of 105 patients undergoing outpatient dermatosurgery, data were collected on demographic characteristics, type of surgery, duration, technique used, and anticoagulant therapy. Particular attention was paid to the follow-up and management of post-operative haemorrhage. The statistical analysis focused on the correlation between the type of surgery and the occurrence of post-operative bleeding.
Results: The results show that with adequate management, outpatient dermatological surgery can achieve comparable to better results than inpatient surgery. Postoperative haemorrhage was rare in our study population and most cases were successfully treated. The study emphasises the importance of effective bleeding management, particularly in patients on anticoagulation. The results suggest that outpatient dermatosurgical procedures are a safe and efficient alternative to inpatient surgery, provided that the necessary measures to minimize the risk of bleeding are carefully implemented.
Conclusion: The study contributes significantly to the understanding of the safety and effectiveness of outpatient dermatological surgery and provides valuable insights for clinical practice. It underpins the need for individualised risk assessment and management to fully exploit the benefits of outpatient surgery while maintaining a high level of patient safety.
