Electrosurgery Use During Post-Mohs Micrographic Surgery Repair and Complication Rates-How Important is a Dry Field?
| Autor: | Margit Juhasz, Christopher B. Zachary, Patrick K. Lee, Melissa Shive, Ajay N. Sharma |
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| Rok vydání: | 2021 |
| Předmět: |
Male
medicine.medical_specialty Electrosurgery medicine.medical_treatment Dermatology Micrographic surgery Postoperative Complications medicine Humans Adverse effect Aged Retrospective Studies Surgical repair business.industry organic chemicals Medical record fungi Retrospective cohort study General Medicine Mohs Surgery Hemostasis Surgical Surgery Hemostasis Female Complication business |
| Zdroj: | Dermatologic surgery : official publication for American Society for Dermatologic Surgery [et al.]. 47(9) |
| ISSN: | 1524-4725 |
| Popis: | BACKGROUND Electrosurgery is used to achieve hemostasis during surgery. There are no studies exploring the effects of the use or avoidance of electrodessication during Mohs micrographic surgery (MMS) repair. Given the growing concerns for tissue aerosolization, occupational smoke exposure, and spread of infectious diseases, it is important to determine the importance of electrical hemostasis. MATERIALS AND METHODS In this retrospective study, electronic medical records of a single, tertiary, academic dermatology practice were reviewed. All MMS cases that underwent surgical repair from January 1 to December 31, 2019, by 2 dermatologic surgeons (one who used electrodessication during repair and one who did not) were included. Patient demographic data, information regarding the procedures, and complications occurring 90 days after MMS were recorded. RESULTS One hundred ninety-eight cases of MMS repair used electrodessication, whereas 193 cases did not. There was no significant difference in the demographic makeup, MMS procedure, or 90-day complication rates between the 2 groups. No major adverse events were MMS-related. CONCLUSION The use or avoidance of electrodessication during MMS repair was not associated with increased 90-day postoperative complications, suggesting that a greater tolerance of moderate oozing at a surgical site during MMS repair is reasonable to minimize electrosurgical tissue damage and occupational smoke exposure. |
| Databáze: | OpenAIRE |
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