Needs Assessment for Mohs Micrographic Surgery

AAD/ACMS/ASDSA/ASMS 2012 appropriate use criteria for Mohs micrographic surgery: A report of the American Academy of Dermatology, American College of Mohs Surgery, American Society for Dermatologic Surgery Association, and the American Society for Mohs Surgery

“…In fact, the use of MMS increased by 400% from 1995 to 2009, and currently 1 in 4 skin cancers is being treated with MMS. 4 As the incidence of skin cancer continues to climb and the field of MMS continues to advance, dermatologists, primary care providers, Mohs surgeons, and the health care community in general will need to understand how to best use MMS in the treatment of skin cancer. This appropriate use criteria (AUC) document from the American Academy of Dermatology (AAD), American College of Mohs Surgery, American Society for Dermatologic Surgery Association, and American Society for Mohs Surgery reflects an ongoing effort to systematically review and categorize the appropriate use of MMS.…”

Topical antibiotic prophylaxis for prevention of surgical wound infections from dermatologic procedures: a systematic review and meta-analysis

“…Since most wound infections occur as a result of contamination before wound closure, administering topical antibiotics postoperatively is not an effective measure to prevent postsurgical wound infections (34). The rates of postsurgical wound infection in the modern-day outpatient dermatologic setting are low, typically ranging from 0.7% to 4.0% (12)(13)(14)(15)18,21,23,27,28,31,32,(35)(36)(37)(38) even without prophylactic antibiotics secondary to current aseptic practices, such as preoperative surgical site preparation, sterilization of instruments and wearing gloves (4,22,(39)(40)(41). Furthermore, most of the wound infections that develop in this setting are mild and easily treated, frequently with basic wound care management alone and no antibiotics (34).…”

Extramammary Paget′s disease: Analysis of 17 Chinese cases

“…Some Mohs surgeons perform light curettage of the tumor, which not only debulks the friable tumor tissue to facilitate tissue processing, but more importantly, can potentially help delineate its margins. [22] In our study, all patients underwent Mohs micrographic surgery. Our pathology results indicated that excision of 2-3 cm of uninvolved lateral margins may not be sufficient in extramammary Paget's disease which has a multicentric origin and satellite lesions.…”