Mohs Surgery

Named after its inventor, Dr. Frederic Mohs, Mohs micrographic surgery is a microscopic surgical procedure that is used to remove skin cancer. Thin layers of skin are surgically removed and processed by horizontal sectioning, and If cancer is detected within the tissue margins, the cancer is then mapped and another layer or stage is taken, and the process is repeated until there is no cancer within the tissue margins.

Numerous studies have shown that Mohs micrographic surgery is simply the best way to check a surgical margin to ensure the cancer is completely removed so there is less chance of any cancer to return. In these studies, Mohs surgery had the highest cure rate for skin cancer removal and proved to be most useful in removing recurrent skin cancers.
There are several aspects of the Mohs Surgery that make the procedure both unique and superior to
other methods of treating skin cancer.

• The highest cure rate among skin cancer treatments.
• Compared to other skin cancer treatments, chances of errors are less.
• Increases accuracy of skin cancer removal.
• It has immediate results.
• Decreases the amount of healthy tissue removed.
• Minimizes surgical risks and scarring.
• Performed under local anesthetic.
• Can be less expensive than other treatments.
• Can result in quicker recovery.

Because of Mohs high success rate, most patients require only a single surgery, which usually includes the repair of the wound as well. Other methods might require extra surgeries and pathology readings in order to repair the wound and to treat cancer if it is not completely removed, and each of these additional surgeries and pathology readings would require separate fees. A single Mohs surgery procedure includes all of these into one fee, making it the most cost-effective treatment for skin cancer.

Although a very safe and effective surgical treatment for skin cancer, like any surgery or procedure, Mohs surgery has some possible risks and complications, they are generally outweighed by the benefits. Common risks of Mohs surgery are not only limited to swelling and bruising. Scarring is also a possibility with any surgery and a wound can be sometimes slow to heal. Numbness and tingling can be present for weeks or for months, but they will usually resolve. Some rare risks include excessive infection, bleeding, paralysis, and pain. Mohs surgery can minimize both these surgical risks and scarring because the procedure keeps the wound as small as possible by removing very little healthy tissue.

Yes, like any treatment for skin cancer, Mohs will leave a scar. While removing the tumor, Mohs preserves as much healthy skin as possible and maximizes options for repairing the surgical defect. Generally, a post-surgical Mohs scar improves with time and can take up to one year or more to fully mature. As your surgical site heals, new blood vessels can appear and promote the healing changes occurring underneath the skin. This can result in the reddish appearance of the scar, which is temporary and will improve with time.

Mohs micrographic surgery will create a wound when the cancer is removed, and more cancer there is, the wider or deeper the wound will be. Reconstruction involves closing the wound after the cancer is surgically removed by Mohs, and the type of reconstruction will depend on if the wound is in an optimal location or difficult location, and if the wound is small or large.

Although Mohs surgery can take longer than other procedures to perform, improvements in technology, such as automated staining of tissue samples, have made the procedure quicker. While it is difficult to predict exactly what timeframe to expect for each Mohs surgery procedure, the entire surgery usually lasts several hours. Seldom, clearing the tumor and repairing the defect can take the better part of a day.

Mohs micrographic surgery is used to treat skin cancers primarily on the face where there is not a lot of extra skin to spare and where scars can be more pronounced. Researches have shown that Mohs surgery is the best option for treatment of skin cancer on the nose, lip, eyelid, and ear. The Mohs surgery is also highly recommended for cancers that are likely to return, have already recurred or have ill-defined borders that make the true area of cancer hard for the surgeon to see.

Mohs micrographic surgery has the highest cure rate. It is appropriate for most skin cancers and especially suitable for skin cancer that is in an area where it is important to preserve healthy tissue for a necessary functional and cosmetic result. It is also used to treat cancer that was removed previously and has come back, cancer that Is located near scar tissue, cancer that does not have clearly defined edges, and cancer that is growing rapidly or uncontrollably.

Most Mohs surgeons are board-certified dermatologists. And to become a Mohs surgeon, they have undergone a formal post-residency fellowship training in Mohs surgery at a major university hospital for one to two years.

The cost of Mohs Surgery in India varies across different cities and hospitals.