The role and management of vitamin supplementation in plastic surgery patients: A comprehensive review

Abstract After reading this article about all the common essential vitamins, the participant should be able to (1) Explain their biological function and surgical relevance, (2) describe the clinical manifestations of deficiency and toxicity, and (3) provide general guidance regarding vitamins to pla...
Ausführliche Beschreibung

Abstract After reading this article about all the common essential vitamins, the participant should be able to (1) Explain their biological function and surgical relevance, (2) describe the clinical manifestations of deficiency and toxicity, and (3) provide general guidance regarding vitamins to plastic surgery patients in the perioperative setting. Vitamin deficiencies and toxicity can predispose patients to surgical complications and poor wound healing. Furthermore, vitamin supplement consumption among the general population has been increasing over time, providing the plastic surgeon the added responsibility to be informed about the interactions and effects of vitamins in the context of surgery. Literature on all common essential vitamins was reviewed and summarized to include biological functions, surgical relevance, and effects of deficiency and toxicity. Scientific evidence was used to collate advice to plastic surgeons regarding vitamin management in the perioperative setting. Most vitamins aid with wound healing. Screening and supplementation for specific vitamins can be considered based on patient characteristics, nutritional and medical history, and history of bariatric surgery. Vitamin E should be stopped two weeks prior to surgery due to increased bleeding risk. The plastic surgeon should encourage open discussions with patients to learn about which vitamin supplements they take and whether they are at risk for deficiency or toxicity. This is the first comprehensive review to discuss and provide guidance about all common essential vitamins (A, B1, B2, B3, B5, B6, B7, B9, B12, C, D, E, and K) in the context of plastic surgery. Level of evidence Not ratable. Ausführliche Beschreibung