BACKGROUND: We report a @entity1 who developed @entity86 as a result of inadvertent excessive @entity1229 intake. We subsequently introduced a policy of checking the international normalization ratio (INR) 24 h before cutaneous surgery for all @entity1 on @entity1229 . OBJECTIVES: To review the perioperative INR and outcome of all @entity1 on @entity1229 who had cutaneous surgery from January 1999 to June 2002 at the Department of Dermatology, Sunderland Royal Hospital. METHODS: A retrospective review was undertaken from @entity1 ' medical records. RESULTS: Sixty-eight @entity1 (1.84% of total) underwent 85 skin procedures comprising 33 excisions, 16 punch biopsies, 15 curettages, 13 diagnostic biopsies, five shave biopsies, two Mohs micrographic surgical excisions and one delayed reconstruction. Repairs included 50 direct closures, five secondary intention healing, seven local flaps, two full-thickness skin grafts and 20 by electrocautery. Forty-five surgical procedures were undertaken with the INR checked on the day of surgery, 37 procedures within 24 h, and three within 2 days. The preoperative INR ranged from 1.1 to 3.4, median 2.5. There was no excess @entity86 or haematoma for all @entity1 . CONCLUSIONS: Our experience supports the continued and safe use of @entity1229 for a wide variety of cutaneous surgical procedures with a preoperative INR of < 3.5. We recommend a routine INR before the procedure, preferably within 24 h.

Preoperative monitoring of XXXX in cutaneous surgery.

@entity1 :: ('9606', 'Species') :: ['patients', 'patient'] @entity86 :: ('MESH:D019106', 'Disease') :: ['intraoperative or postoperative bleeding', 'postoperative bleeding'] @entity1229 :: ('MESH:D014859', 'Chemical') :: ['warfarin']
@entity1229 :: (MESH:D014859,Chemical) :: ['warfarin']
