The incidence of major complications from Mohs micrographic surgery performed in office-based and hospital-based settings
Abstract
Background There has been significant interest in the safety of office-based surgery.Objective Our purpose was to compare the safety of Mohs micrographic surgery and related surgical repairs performed in office- and hospital-based settings.Methods The study included 3937 consecutive patients undergoing Mohs surgery. Surgery was performed at either an outpatient office or a hospital-based setting.Results Mohs surgery was performed on 1540 patients in the hospital and 2397 patients underwent surgery in the office. The mean patient age was 66 years, and 61% were men. Ninety-three percent of lesions were basal cell or squamous cell carcinomas, and 86% were located on the head and neck. The average tumor measured 1.1 x 1.0 cm, required 1.7 stages of Mohs surgery, and resulted in a defect measuring 2.4 x 1.8 cm. Linear closures, flaps, grafts, and second-intention healing were utilized in 69%, 14%, 6%, and 11% of defects, respectively. There were no differences in patient or tumor characteristics or the types of closures used at the two operating facilities. The only serious surgical complication was gastrointestinal hemorrhage due to naproxen prescribed postoperatively for auricular chondritis in one patient.Conclusion Mohs micrographic surgery and repair of associated defects can be safely performed in either an office- or hospital-based setting.
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The performance of the procedures with local anesthesia and vasoconstrictors (100 cases) in the outpatient setting (95 cases) did not show an increase in risks or complications for the patients.
“The performance of the procedures with local anesthesia and vasoconstrictors (100 cases) in the outpatient setting (95 cases) did not show an increase in risks or complications for the patients, data that have been well established in the literature.17, 18, 19, 20, 21”
From Auricular reconstruction after Mohs micrographic surgery: analysis of 101 cases (2021) · cites this paper as [20]
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Auricular reconstruction after Mohs micrographic surgery: analysis of 101 cases
Bittner, G. C., Kubo, E. M., Fantini, B. D. C., & Cerci, F. B. (2021) · Anais Brasileiros de Dermatologia · doi:10.1016/j.abd.2020.12.008 · Cited by 14 · see citing works
- Authors
- Kimyai-Asadi, A., Goldberg, L. H., Peterson, S. R., Silapint, S., & Jih, M. H.
- Affiliations
- Houston Methodist (US)
- DermSurgery Associates (US)
- Corresponding author
- Jih, Ming H.
- Venue
- Journal of the American Academy of Dermatology
- Publisher
- Elsevier BV
- Published
- 2005-10
- Volume
- 53
- Issue
- 4
- Pages
- 628-634
- ISSN
- 0190-9622 (ISSN-L)
- OpenAlex
- W2030512336
- Cited by
- 84
- References
- 8
- Citations by year
- 2026: 1 · 2025: 3 · 2024: 2 · 2023: 6 · 2022: 3 · 2021: 9 · 2020: 5 · 2019: 7 · 2018: 2 · 2017: 3 · 2016: 5 · 2015: 6 · 2014: 4 · 2013: 5 · 2012: 3
- FWCI
- 0.96
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of the American Academy of Dermatology (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Epidemiology › Nonmelanoma Skin Cancer Studies
- Health Sciences › Medicine › Surgery › Reconstructive Facial Surgery Techniques
- Health Sciences › Medicine › Oncology › Cutaneous Melanoma Detection and Management
- Keywords
- Mohs micrographic surgery, surgical complications, office-based surgery, hospital-based surgery, skin cancer surgery, basal cell carcinoma, squamous cell carcinoma, surgical wound closure, postoperative bleeding, naproxen, auricular chondritis, surgical site infection
- MeSH terms
- Aged, Ambulatory Surgical Procedures, Carcinoma, Basal Cell, Basal Cell Carcinoma, Carcinoma, Squamous Cell, Ear Neoplasms, Female, Head and Neck Neoplasms, Hemostasis, Surgical, Hospitals, Teaching, Humans, Lip Neoplasms, Male, Nose Neoplasms, Retrospective Studies, Scalp, Skin Neoplasms, Surgical Flaps, Mohs Surgery, Skin Transplantation
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