Exploring Environmental Sustainability in Mohs Micrographic Surgery.

IF 2.3 3区医学 Q2 DERMATOLOGY

Dermatologic Surgery Pub Date : 2026-10-01 Epub Date: 2026-03-18 DOI:10.1097/DSS.0000000000005092

Rewan M Abdelwahab, Muhab Abdelwahab, Nahid Y Vidal

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引用次数: 0

Abstract

Background: Health care resource use, pollution, and greenhouse gas emissions are increasingly studied to balance quality patient care with environmental, social, and financial impacts. However, consolidated sustainability recommendations for Mohs micrographic surgery (MMS) remain unexplored.

Objective: To assess current recommendations and studies on environmental sustainability in MMS.

Materials and methods: Following PRISMA-ScR guidelines, a literature review was conducted across PubMed, ScienceDirect, Scopus, Web of Science, and Cochrane databases from 2014 to 2024. English peer-reviewed studies using keywords "climate change," "margin control," "environment," "sustainability," "waste," "resource," "Mohs micrographic," "Mohs," and "micrographic" were included. Duplicates and conference abstracts were excluded.

Results: Of 5,526 articles, nine met inclusion criteria after independent review. Recommendations included standardized surgical sets, limiting instruments to essentials, and redesigning procedure rooms to improve recycling access. Three articles found no significant difference in infection rates between sterile and nonsterile glove use. Other suggestions involved recycling plastics, using microtubules to reduce chromacoding dye waste by minimizing spillage and drying, and scheduling virtual preoperative visits to reduce travel emissions. Insurance reimbursement for virtual visits remains a limitation.

Conclusion: Restructuring surgical protocols and procedure room design encourages innovation and addresses workflow inefficiencies rooted in tradition rather than evidence, promoting sustainability in MMS.

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探索莫氏显微摄影手术的环境可持续性。

背景：卫生保健资源利用、污染和温室气体排放越来越多地被研究，以平衡高质量的患者护理与环境、社会和财务影响。然而，莫氏显微摄影手术（MMS）的综合可持续性建议仍未得到探讨。目的：评估目前关于MMS环境可持续性的建议和研究。材料和方法：根据PRISMA-ScR指南，从2014年到2024年，对PubMed、ScienceDirect、Scopus、Web of Science和Cochrane数据库进行文献综述。包括使用关键词“气候变化”、“边际控制”、“环境”、“可持续性”、“废物”、“资源”、“莫氏显微图”、“莫氏”和“显微图”的英文同行评审研究。副本和会议摘要被排除在外。结果：5526篇文章中，9篇符合独立审查的纳入标准。建议包括标准化手术设备，将器械限制在必需的范围内，以及重新设计手术室以改善回收利用。三篇文章发现无菌手套和非无菌手套的感染率没有显著差异。其他建议包括回收塑料，使用微管通过减少溢出和干燥来减少染色染料的浪费，以及安排虚拟术前访问以减少旅行排放。虚拟访问的保险报销仍然是一个限制。结论：重组手术方案和手术室设计鼓励创新，解决了植根于传统而非证据的工作流程低效问题，促进了MMS的可持续性。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Dermatologic Surgery 医学-皮肤病学

CiteScore

3.10

自引率

16.70%

发文量

547

期刊介绍： Exclusively devoted to dermatologic surgery, the Dermatologic Surgery journal publishes the most clinically comprehensive and up-to-date information in its field. This unique monthly journal provides today’s most expansive and in-depth coverage of cosmetic and reconstructive skin surgery and skin cancer through peer-reviewed original articles, extensive illustrations, case reports, ongoing features, literature reviews and correspondence. The journal provides information on the latest scientific information for all types of dermatologic surgery including: -Ambulatory phlebectomy- Blepharoplasty- Body contouring- Chemical peels- Cryosurgery- Curettage and desiccation- Dermabrasion- Excision and closure- Flap Surgery- Grafting- Hair restoration surgery- Injectable neuromodulators- Laser surgery- Liposuction- Microdermabrasion- Microlipoinjection- Micropigmentation- Mohs micrographic surgery- Nail surgery- Phlebology- Sclerotherapy- Skin cancer surgery- Skin resurfacing- Soft-tissue fillers. Dermatologists, dermatologic surgeons, plastic surgeons, oculoplastic surgeons and facial plastic surgeons consider this a must-read publication for anyone in the field.