Review and reappraisal of assessment parameters of second intention healing after Mohs micrographic surgery.
Gabrielle SchwartzmanAlexander M CartronAmor KhachemounePublished in: Archives of dermatological research (2021)
Mohs micrographic surgery (MMS) is used to remove cutaneous tumors in cosmetically sensitive anatomic areas. Surgeons can provide several reconstructive options to patients following tumor removal, including primary closure, skin grafts, local, regional or free flaps, and secondary intention healing (SIH). Notably, with the advancement of surgical and reconstructive techniques, the use of second intention healing has declined and may be underutilized. This review aims to critically evaluate the literature regarding indications, anatomical considerations, advantages, and complications of second intention wound healing following Mohs surgery. We also offer reappraisal of SIH following MMS to promote evidence-based postoperative care.
Keyphrases
- basal cell carcinoma
- minimally invasive
- coronary artery bypass
- wound healing
- end stage renal disease
- surgical site infection
- quality improvement
- systematic review
- healthcare
- newly diagnosed
- palliative care
- chronic kidney disease
- patients undergoing
- skin cancer
- peritoneal dialysis
- risk factors
- acute coronary syndrome
- patient reported outcomes
- chronic pain
- thoracic surgery
- patient reported