What is Mohs Surgery?
Mohs surgery, also known as Mohs micrographic surgery, is a precise surgical technique used to treat skin cancer. Named after its inventor, Dr. Frederic Mohs, the procedure involves the step-by-step removal and examination of cancerous tissue until only cancer-free tissue remains. This method offers the highest cure rate for skin cancer while preserving as much healthy tissue as possible.
Why is Mohs Surgery Important?
Mohs surgery is particularly effective for treating basal cell carcinoma and squamous cell carcinoma, the two most common types of skin cancer. Its meticulous approach minimizes the chances of cancer recurrence and is ideal for cancers located in cosmetically and functionally critical areas, such as the face, ears, and hands.
Role of Nurses in Mohs Surgery
Nurses play a crucial role in the successful execution of Mohs surgery. Their responsibilities include patient education, pre-operative preparation, intra-operative assistance, and post-operative care. They ensure that patients understand the procedure, manage their anxiety, and adhere to post-operative instructions for optimal healing.Pre-Operative Care
Before the procedure, nurses conduct a thorough assessment of the patient’s medical history, current medications, and any allergies. They provide detailed instructions on how to prepare for surgery, such as avoiding certain medications, fasting requirements, and arranging for transportation home. Nurses also ensure that the surgical site is clean and marked correctly.Intra-Operative Assistance
During the surgery, nurses assist the
Mohs surgeon by preparing and sterilizing instruments, administering local anesthesia, and ensuring a sterile environment. They also provide emotional support to the patient, helping them remain calm and comfortable throughout the procedure.
Post-Operative Care
After the surgery, nurses monitor the patient for any immediate complications, such as excessive bleeding or allergic reactions. They provide instructions on wound care, pain management, and signs of infection to watch for. Follow-up appointments are scheduled to monitor the healing process and to remove sutures if necessary.Patient Education
Education is a critical component of nursing care in Mohs surgery. Nurses educate patients on the importance of
sun protection and regular skin checks to prevent future skin cancers. They also provide resources and support for lifestyle changes that can reduce the risk of skin cancer recurrence.
Managing Anxiety and Pain
Undergoing surgery can be a stressful experience for patients. Nurses employ various techniques to manage anxiety, such as deep breathing exercises and reassuring communication. Pain management is also a priority, with nurses administering appropriate analgesics and providing guidance on pain control methods.Documentation and Communication
Accurate documentation is essential for continuity of care. Nurses meticulously record all aspects of the patient's care, including pre-operative assessments, intra-operative observations, and post-operative instructions. Effective communication between the nursing team, the surgeon, and the patient ensures a seamless and coordinated care experience.Conclusion
Mohs surgery is a highly effective treatment for certain types of skin cancer. Nurses play an integral role in every stage of the process, from pre-operative preparation to post-operative care. Their expertise and compassionate care are vital to the success of the surgery and the overall well-being of the patient.
