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Mohs surgery is the gold standard method for obtaining complete margin control during removal of a skin cancer (complete circumferential peripheral and deep margin assessment - CCPDMA) using frozen section histology. [1] CCPDMA or Mohs surgery allows for the removal of a skin cancer with very narrow surgical margin and a high cure rate.
After dermatologic surgery, the presence of suture materials at the wound site can cause redness and swelling, yet these suture reactions may not necessarily indicate allergy or infection. Other common complications include hypertrophic or keloid scars, bruises, suture marks, and skin color changes, which may be temporary or permanent. [34]
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Comparing Mohs Surgery Method to smashing an aluminum pie pan How a Mohs Section is flattened with relaxing incisions False negative in standard bread loafing histology: If the pathologist looks only at the margin of the three narrow slices, the many cancerous cells on the discarded margins will be missed.
The goal of reconstructive surgery is the restoration of normal appearance and function. The choice of technique in reconstruction is dictated by the size and location of the defect. Excision and reconstruction of facial skin cancers are generally more challenging due to the presence of highly visible and functional anatomic structures in the face.
The American College of Mohs Surgery (abbreviated as ACMS) is a membership-based organization of surgeons who are fellowship-trained (FACMS) in Mohs surgery, a technique that removes skin cancer in stages, one tissue layer at a time. The ACMS is the oldest and largest professional membership organization for Mohs surgeons. [2]
He is founder and chief of the Dermatologic Surgery Program at Yale School of Medicine. Leffell is an internationally recognized expert in skin cancer and the Mohs technique, plastic reconstruction, and new technologies in dermatology. He specializes in the diagnosis, treatment, and prevention of melanoma and nonmelanoma skin cancer. [1]
Mohs surgery: Frederic E. Mohs: Dermatology surgery: Microscopically controlled surgery to treat common skin cancers, most often basal cell carcinoma and squamous cell carcinoma: MOHS Surgery at Who Named It? Nissen fundoplication: Rudolph Nissen: Upper gastrointestinal surgery, laparoscopic surgery