Dermatologic Surgery最新文献

{"title":"Exploring Environmental Sustainability in Mohs Micrographic Surgery.","authors":"Rewan M Abdelwahab, Muhab Abdelwahab, Nahid Y Vidal","doi":"10.1097/DSS.0000000000005092","DOIUrl":"10.1097/DSS.0000000000005092","url":null,"abstract":"<p><strong>Background: </strong>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.</p><p><strong>Objective: </strong>To assess current recommendations and studies on environmental sustainability in MMS.</p><p><strong>Materials and methods: </strong>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.</p><p><strong>Results: </strong>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.</p><p><strong>Conclusion: </strong>Restructuring surgical protocols and procedure room design encourages innovation and addresses workflow inefficiencies rooted in tradition rather than evidence, promoting sustainability in MMS.</p>","PeriodicalId":11289,"journal":{"name":"Dermatologic Surgery","volume":" ","pages":"943-946"},"PeriodicalIF":2.3,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147490768","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Histopathological Concordance Between Preoperative Biopsy and Debulk Specimens in Basal Cell Carcinoma Treated with Mohs Micrographic Surgery: A Retrospective Cohort Study.","authors":"Caoimhe Dalton, Claudine H James, Patrick Ormond, Benvon Moran","doi":"10.1097/DSS.0000000000005270","DOIUrl":"10.1097/DSS.0000000000005270","url":null,"abstract":"","PeriodicalId":11289,"journal":{"name":"Dermatologic Surgery","volume":" ","pages":"e150-e152"},"PeriodicalIF":2.3,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148548188","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Comprehensive Repair of Dual Scalp Defects: A Multi-Technique Approach.","authors":"Benjamin R Cooper, Taha Rasul, Arianne E Chavez","doi":"10.1097/DSS.0000000000004725","DOIUrl":"10.1097/DSS.0000000000004725","url":null,"abstract":"","PeriodicalId":11289,"journal":{"name":"Dermatologic Surgery","volume":" ","pages":"995-997"},"PeriodicalIF":2.3,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144539521","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Mohs Micrographic Surgery for Penile Squamous Cell Carcinoma: A Systematic Review.","authors":"Jonathan D Greenzaid, Ainsley J Ruley, Kelly M Kimball, David R Carr, Christine Ahn, Kathryn T Shahwan","doi":"10.1097/DSS.0000000000005104","DOIUrl":"10.1097/DSS.0000000000005104","url":null,"abstract":"<p><strong>Background: </strong>Squamous cell carcinomas (SCCs) of the penis are often treated with partial or total penectomy. Although penectomy has low recurrence rates, it often leads to psychosocial distress and disfigurement. Mohs micrographic surgery (MMS) is a tissue-preserving treatment modality, but data on recurrence rates are limited and the National Comprehensive Cancer Network (NCCN) guidelines recommend it only for in situ and stage T1 tumors in select cases, based on the American Joint Committee on Cancer (AJCC) eighth edition staging criteria.</p><p><strong>Objective: </strong>This study systematically reviews clinical studies on MMS for penile SCC, summarizing disease outcomes and surgical complications.</p><p><strong>Methods: </strong>A systematic review was conducted using Ovid MEDLINE, Embase, Cochrane, CINAHL, and Web of Science for studies published through October 23, 2024.</p><p><strong>Results: </strong>Nineteen studies with 329 penile SCCs met inclusion criteria. Local recurrence ( n = 15, 5%), nodal metastasis ( n = 8, 3%), distant metastasis ( n = 1, 0.3%) and disease-specific death ( n = 3, 1%) were rare. Urologic Surgery collaboration was utilized in 27% of cases, performing procedures including urethrectomy, meatotomy, and reconstruction. Complications occurred in 9%, including poor wound healing ( n = 11, 3%), urethral stricture ( n = 11, 3%), wound infection ( n = 3, 1%), and bleeding ( n = 2, 1%). Patients with advanced-stage (T2/T3) tumors had higher rates of local recurrence (8% vs 1%), and similar rates of nodal (2% vs 1%) and distant metastasis (0% vs 1%), compared to patients with early-stage tumors (Tis/T1).</p><p><strong>Conclusion: </strong>Mohs micrographic surgery is a penis-sparing surgical approach with low recurrence rates in low-stage tumors. Multidisciplinary collaboration with Urology is recommended in cases of advanced-stage tumors, anticipated reconstruction, or urethral involvement. Further research is needed, as the level of evidence was low in this systematic review.</p>","PeriodicalId":11289,"journal":{"name":"Dermatologic Surgery","volume":" ","pages":"938-942"},"PeriodicalIF":2.3,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147615955","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Single-Stage Repair of a Cheek, Nasal Sidewall, and Alar Defect.","authors":"Katelyn Downey, Amanda Arreola, Wesley Yu","doi":"10.1097/DSS.0000000000005039","DOIUrl":"10.1097/DSS.0000000000005039","url":null,"abstract":"","PeriodicalId":11289,"journal":{"name":"Dermatologic Surgery","volume":" ","pages":"e126-e128"},"PeriodicalIF":2.3,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146131125","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Comparative Efficacy of Topical Anesthetic Compounds Prior to 1927-nm Fractional Thulium Fiber Laser.","authors":"Bianca Y Kang, Jamison A Harvey, Carolyn Mead-Harvey, Elika Hoss","doi":"10.1097/DSS.0000000000005257","DOIUrl":"10.1097/DSS.0000000000005257","url":null,"abstract":"","PeriodicalId":11289,"journal":{"name":"Dermatologic Surgery","volume":" ","pages":"e156-e158"},"PeriodicalIF":2.3,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148419550","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Utility of Virtual Reality to Alleviate Preprocedural Anxiety in Dermatological Surgery: A Single-Arm Pilot Study.","authors":"Avni Jain, Timothy Klufas, Brett Sloan, Albert E Zhou","doi":"10.1097/DSS.0000000000005286","DOIUrl":"10.1097/DSS.0000000000005286","url":null,"abstract":"","PeriodicalId":11289,"journal":{"name":"Dermatologic Surgery","volume":" ","pages":"e135-e136"},"PeriodicalIF":2.3,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148535464","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Retroauricular Chondrocutaneous Composite Graft for Repair of Cicatricial Ectropion After Mohs Micrographic Surgery.","authors":"María D Guerrero-Putz, Joan R Garcés","doi":"10.1097/DSS.0000000000005313","DOIUrl":"10.1097/DSS.0000000000005313","url":null,"abstract":"","PeriodicalId":11289,"journal":{"name":"Dermatologic Surgery","volume":" ","pages":"e152-e154"},"PeriodicalIF":2.3,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148886704","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Limited Concordance Between Preoperative Imaging and Histology in Skin Cancer.","authors":"Monika Bapna, Jeffrey P Guenette, Emily S Ruiz","doi":"10.1097/DSS.0000000000004972","DOIUrl":"10.1097/DSS.0000000000004972","url":null,"abstract":"","PeriodicalId":11289,"journal":{"name":"Dermatologic Surgery","volume":" ","pages":"1008-1010"},"PeriodicalIF":2.3,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145780506","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Risk of Associated Visceral Malignancies in Patients With Extra-anogenital Extramammary Paget Disease.","authors":"Tejas P Joshi, Ciana Sorrels, Michael R Migden","doi":"10.1097/DSS.0000000000004959","DOIUrl":"10.1097/DSS.0000000000004959","url":null,"abstract":"","PeriodicalId":11289,"journal":{"name":"Dermatologic Surgery","volume":" ","pages":"1007-1008"},"PeriodicalIF":2.3,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145676779","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}