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Dermbits

MD, MPH

How do you manage patients on biologics when they undergo orthopedic surgery? Do we need to hold the biologic?

Psoriasis

So orthopedic surgeries are typically considered low risk surgeries and low risk surgery. Definition is where procedures where the GI, the respiratory, or the geotracts are not entered during surgery and for those the National Psoriasis foundation recommending not holding biologic during the surgery. So continue the biologic regimen as usual through these low risk surgeries. Now, if you do have a patient who is undergoing high risk surgery and that is defined as if the respiratory GI tract, or GU tract is penetrated during the procedures, then the recommendation there currently is stop the biologic for about five half lives prior to the surgery and then resume the biologic one to two weeks after the surgery. If there is no infection and.