Mohs surgery is a precise technique for removing certain types of skin cancer, often used for its high success rate and ability to preserve healthy tissue. Many individuals considering this procedure wonder about the potential for pain or discomfort. This article addresses what to expect regarding sensation during and after Mohs surgery, offering insights for a more comfortable experience.
Sensations During the Procedure
Mohs surgery is performed under local anesthesia, meaning the patient remains awake while the surgical area is completely numbed. The anesthetic, commonly lidocaine, is injected around the tumor site, blocking pain signals in the nerves. Patients may experience a brief stinging or burning sensation as the local anesthetic is administered, but this is short-lived, lasting only a few seconds to two minutes.
Once the area is numb, sharp pain is not experienced during surgery. Patients might still feel sensations such as pressure, pulling, tugging, or vibrations as the surgeon works. If the procedure extends, or if the initial numbing effect begins to wear off, additional anesthetic can be administered to maintain comfort. This continuous localized numbing allows for the meticulous, layer-by-layer removal of cancerous tissue.
Post-Surgery Discomfort and Relief
After Mohs surgery, once the local anesthesia wears off, discomfort is normal, ranging from mild to moderate. Patients may describe sensations similar to a mild sunburn, including soreness, throbbing, or a burning feeling around the surgical site. Swelling and bruising are also common post-operative effects, which may not peak until three to four days post-procedure. Numbness in the treated area can also occur due to nerve endings being affected during tissue removal, resolving within weeks or months.
Pain management after Mohs surgery is effective with over-the-counter medications such as acetaminophen (Tylenol) or ibuprofen. Applying ice packs to the surgical site for 10-20 minutes can help reduce swelling and alleviate discomfort. Elevating the treated area, especially if on the head or neck, can also help minimize swelling. Avoiding strenuous activities and heavy lifting for one to two weeks helps prevent bleeding and supports proper healing. Pain levels can vary based on the surgical site, with procedures on the scalp or larger wounds causing more discomfort.
Steps for a More Comfortable Experience
Preparing for Mohs surgery involves several steps that contribute to a smoother, more comfortable experience. Patients are advised to follow specific pre-operative instructions, including avoiding certain medications or herbal supplements that can increase bleeding risk (e.g., aspirin, ibuprofen, Vitamin E, fish oil) for one to two weeks before the procedure, unless directed by their surgeon. Avoiding alcohol for at least 48 hours prior to surgery also minimizes bleeding complications. Showering the night before or morning of surgery and wearing loose, comfortable, button-down clothing can enhance comfort on the day of the procedure.
Open communication with the surgical team helps address any concerns about pain or anxiety. Patients should feel comfortable discussing their fears or asking questions about the procedure. Preparing the home environment for recovery by ensuring a comfortable resting area and easy access to pain relievers aids in post-operative comfort. Adequate rest and hydration are important for healing and can help manage discomfort.