Mohs surgery is the safest treatment for skin cancer. The operations is only done with local anesthesia, and therefore you do not need to fast. The actual operation takes only a couple of hours, typically. When the operation is finished, you should wait 15-20 minutes before you go home, primarily to ensure that you are well and not bleeding. Only in rather special cases is an admission to a hospital necessary.
When you arrive at the clinic, you will be received by our personnel. The doctor will examine you again and inform you about the intervention and the plans. Then the operation starts. The nurse will perform the initial steps (washing and uncovering) after which the doctor starts with the anesthesia and the operation. The visible part of the skin cancer is operated away, after which a bandage is laid over the wound. Then you will sit in the waiting room, while we examine the removed tissues under a microscope. If remains of skin cancer is found the procedure is repeated until all skin cancer is removed. Then the wound is closed by the use of plastic surgery techniques. If it is possible to close the wound with a simple closure (side-to-side), but with larger defects, it can be necessary to move the skin from a “neighboring area” with a so called “plastic flap” that gives the optimal cosmetic result. Finally, the wound can be closed with the help of skin transplantation, where the skin typically is taken from an area in front or behind the ear. When the wound is closed, a bandage is applied, that will be removed again when you come in to remove the suture.
The day after the operation, you will be contacted by the clinic to hear if you are well.
Removal of sutures is scheduled on the day of the operation.