Simple tips for Mohs surgeons

April 1, 2006

A common sewing magnet can be an invaluable tool during surgery. Dropped needles can be found more easily.

The procedure is on the rise, as evidenced by the increase in the number of fellows. A 2004 study found an annual increase in the number of dermatologists pursuing fellowships since 1999 (Dermatol Surg. 2004; 30:136-138).

But even seasoned Mohs surgeons can learn new tricks through practice and by sharing information with their peers. There are many easy techniques dermatologic surgeons can adopt to facilitate the surgery and improve wound healing, says Edward H. Yob, M.D., of Dermatology Associates here. Dr. Yob's practice primarily performs Mohs surgery.

Types of techniques

These techniques include simple items such as dental rolls, the use of buttons as bolsters and Silastic (Dow Corning) drains."Most people have never used a button as a bolster," he adds.

Hydrocolloid dressings can also minimize scarring by keeping the wound moist and preventing patients from picking at the wound.

Dr. Yob presented specific examples of wound management techniques at the 64th Annual Meeting of the American Academy of Dermatology in San Francisco in March.