Cosmetic and reconstructive procedures, such as a facelift (rhytidectomy), tummy tuck ( abdominoplasty ), or nose surgery ( rhinoplasty ) may not be medically indicated, but they may benefit the patient in terms of raising self-esteem. Other procedures, such as cataract surgery, improve functional quality of life even though they are technically an "optional" or elective procedure. Does plaquenil affect the kidneys Dr gave me plaquenil to sample I just had major spine surgery in November. The surgeon had me check with my rheumy about stopping Plaquenil and I was told to continue it, or just stop it the day of surgery then get right back on, I asked what would happen if I stopped for a week and was told I'd risk going into a flare. I stayed on it and surgery went OK. Cardiovascular risk evaluation. Prior to elective surgery, the risk of perioperative cardiovascular events must be assessed. Overall, individuals with rheumatoid arthritis have a higher risk of myocardial infarction which is similar to individuals with diabetes mellitus or a person 10 years older than the age of the patient. There is an increased risk of cardiovascular related death for. The comparator group in this study included patients receiving corticosteroids, methotrexate, leflunomide and anti-inflammatory medications.6 The authors concluded that the use of TNF-a inhibitors during the perioperative period is safe for patients with RA who are undergoing elective foot and ankle surgery as this does not increase the risks. However, unlike emergency surgery (e.g., appendectomy ), which must be performed immediately, a required elective procedure can be scheduled at the patient's and surgeon's convenience. Some elective procedures are necessary to prolong life, such as an angioplasty . Plaquenil and elective surgery Hold the immunomodulators for surgery? Maybe yes, maybe no., Perioperative management of the. - PubMed Central PMC Chloroquine diphosphate and phosphate I Have Lupus, My Rheumatologist Has Given Me a Green Light for a Mommy Makeover. though Plaquenil is widely believed not to add significant risk to surgery and to. I Have Lupus, My Rheumatologist Has Given Me a Green Light.. A Guide To Perioperative Management Of The Rheumatoid Patient.. How long to be off Celebrex adn Plaquenil for a Surgery.. It simply means that the surgery can be scheduled in advance. It may be a surgery you choose to have for a better quality of life, but not for a life-threatening condition. But in some cases it may be for a serious condition such as cancer. Examples of elective surgery include removing a mole or wart, and having kidney stones removed. Nassar and Cracchiolo noted that in general, surgery for patients with RA for the correction of foot deformity was successful.4 They also noted the frequent occurrence of complications due to the disease process itself and medications utilized to treat the disease. Summary of guidelines for DMARDs for elective surgery. of risks of flare with stopping DMARDs versus the risks of infection with continuing them perioperatively for elective TKA. Continue methotrexate, leflunomide, hydroxychloroquine, and sulfasalazine. Biologic agents should be held with surgery scheduled at the end of dosing cycle and.