Multibladed Knife for Staged Surgical Margin Control in Nonmelanoma Skin Cancer

Controlling the histological margin for non‐melanoma skin cancer conveniently using a double‐bladed scalpel

“…The concept of this device was described in 1977 by Coiffman [14] and the device was originally created to harvest donor strips for hair transplantation. The DBS has been described with respect to the removal of surgical scars [15], BCCs [16], non-melanoma skin cancers [17] and dermatosarcoma protuberans [18]. A few articles detail the potential advantages of the DBS in micrographic surgery [18].…”

Polyangulated Specimen and Tissue Nicks to Facilitate Orientation and Re-Excision in Mohs Micrographic Surgery

“…When cleared, the surgical oncologist and pathologist can manage the central portion to ensure deep surgical margin integrity and oncologic cure (Figure 1). 8 When clearing the peripheral margins to facilitate peripheral tissue conservation before deep resection by the surgical oncologist, the peripheral margin needs to be deep enough to minimize the likelihood of a false‐negative margin. In other words, the peripheral margin should be excised down to the same depth as the central portion, or incomplete peripheral surgical margin evaluation is risked.…”

The cockade technique – a closed wound variant of 3D histology‐guided surgery

“…Since 1977 there have been a variety of publications about their use in hair transplantation, scar revision and skin cancer [50][51][52][53][54][55]. The free-hand approach is time-consuming and it is almost impossible to cut the margin-strip biopsies slim and intact.…”