Mohs surgery offers a precise and effective treatment for specific skin cancers. This specialized procedure aims to remove cancerous tissue while preserving healthy skin. Preparing adequately for Mohs surgery can help ensure a smoother experience and contribute to positive outcomes. Understanding the steps involved before and during the procedure allows patients to approach their appointment with confidence.
Medical and Medication Guidelines
Prior to Mohs surgery, discussing all medications and medical history with the surgical team is important. This includes prescription drugs, over-the-counter medications like aspirin or ibuprofen, and any supplements such as Vitamin E, fish oil, or herbal remedies. The surgeon will provide specific instructions on which medications to stop and when, or if they should be continued, as some blood thinners may need to be adjusted or temporarily discontinued to reduce bleeding risk during the procedure. Patients on prescribed blood thinners for conditions like heart attack or stroke should continue them unless specifically advised by their doctor, as stopping them can pose serious health risks.
Patients should also inform the surgical team about all known allergies, including those to medications, latex, or adhesives, as well as any existing medical conditions like heart issues, pacemakers, or implanted devices. Lifestyle adjustments, such as avoiding smoking for at least two weeks before surgery and two weeks after, can significantly impact wound healing and reduce complications. Limiting alcohol consumption for at least 48 hours before the procedure can also help reduce the risk of increased bleeding. For individuals managing chronic conditions like diabetes, it is important to follow their doctor’s guidance regarding medication and diet on the day of surgery.
Practical Day-Of Preparations
On the day of Mohs surgery, practical preparations enhance comfort. Wear loose, comfortable clothing that allows easy access to the surgical site. Arrange for transportation, especially if the surgical site might affect driving or if mild sedation is provided. While fasting is not required, eat a light meal before surgery unless instructed otherwise. Bringing snacks and drinks can be beneficial during waiting periods.
Bring personal items such as reading material or a charged phone to pass the time during waiting periods. Prior to arrival, shower and clean the surgical area with a gentle soap to reduce infection risk. Avoid applying lotions, makeup, perfumes, or deodorants near the surgical site. Bringing a trusted friend or family member for support and transportation can be helpful.
Understanding the Procedure Day
Upon arrival for Mohs surgery, patients check in and are directed to a treatment room. The procedure involves a staged approach: initial surgical removal of visible cancerous tissue, followed by laboratory processing and microscopic examination. This means patients will experience waiting periods between stages while tissue is analyzed in an on-site lab. Each stage, including tissue processing and microscopic review, can take 40 to 60 minutes.
The entire Mohs procedure can take several hours, or even the entire day, depending on the size and complexity of the skin cancer and the number of stages required. The surgery is performed under local anesthesia, which numbs the surgical area while the patient remains awake. Once all cancer cells are confirmed removed, the surgeon will discuss and perform wound closure options during the same visit.