Lipoma Removal: Q&A
Ask a QuestionAntibiotics Necessary Before or After Lipoma Excision?
Are antibiotics necessary either before or after Lipoma excision? I'm asking because I've had allergic reactions to every one (about 10) I've ever taken.
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12 Doctor Answers |
Asked by
Tark
in MI
+2
Antibiotics Necessary Before Lipoma Excision
Yes, it is a must.
Any invasive procedure where skin is excised should be preceded by an antibiotic. Even if you are allergic to a lot of them, your surgeon should be able to find one that can be used. It does not have to be for many days. At the minimum one single dose of intravenous antibiotic given before starting the surgery is a must.
Regards
+2
Limited antibiotics or none
Lipoma excision is a clean surgery. Prophylactic antibiotics could be limited to one dose if needed. If you have such extensive allergies, it might be done with no antibiotics at all. Best of luck!
+1
Antibiotic use for skin surgery
Great question Tark! I do not routinely use antibiotics before or after lipoma excision. This surgery carries a very low risk of infection and antibiotic use can have problems - such as allergy and (on a population level) the development of "superbugs" that are resistant to antibiotics.
Melbourne Plastic Surgeon
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Lipoma removal with surgery
Lipoma removal is done in a sterile surgical fashion. Healthy patients are at low risk of infection. However, antibiotics are prescribed on a case by case basis to minimize infection.
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Not usually.
Hello,
Antibiotics in your case would likely be a bad idea. They can be given prophylactically but the practice is a matter of opinion.
Best Regards,
John Di Saia MD
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Antibiotics and lipoma removal
As a general rule, I do not prescribe antibiotics either before, or after lipoma removal. In my practice the procedure is performed in an on-site accredited OR where the conditions are clean and the procedure is performed in a sterile manner.
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Antibiotics usually NOT necessary before Lipoma Excision
That's a great questions! And as you can see from all of our answers, the use of antibiotics before clean surgery can vary among different physicians.
Antibiotics are use for two main reasons, to treat a current infections (therapeutic antibiotic use) and to minimize the risk of infection during surgery (prophylactic antibiotic use). In general, antibiotics are not necessary during clean surgery such as lipoma excisions in healthy individuals.
In the past,...
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Antibiotics not usual indicated for most clean cases.
There is very clear evidence in some of the general surgical literature that there is little benefit, if any, to administering antibiotics during the majority of clean cases. In plastic surgery, the majority of the cases are clean. However, there are exceptions to this antibiotic rule in two very common situations.
1) The first is when a sterile foreign body is being implanted (i.e. breast implants).
2) The second is when there is extensive undermining of the soft tissues that...
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Antibiotics usage up to the surgeon performing lipoma removal
As long as the lipoma removal surgery is performed under sterile technique, there is no real clinical reason to administer antibiotics before or after the procedure. Some dermatologic surgeon or plastic surgeon may choose to do so if the wound is large or the procedure takes longer than expected. Indiscriminate prescribing of pre-op and post-op antibiotics is no longer endorsed by most dermatologic and plastic surgeons.
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Antibiotics are not necessary before or after lipoma excision
Dear Tark, "Clean" skin surgeries do not typically require antibiotics. Assuming there is no active infection in your skin or around the lipoma we can typically avoid giving antibiotics.
These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.
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