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Preparation for Mohs micrographic surgery

Surgery is performed under local anesthesia usually within a single visit. The tumor will be removed in stages. Most tumors require two to four stages for complete removal. There will be a one to two hour wait between each stage during which each small layer is meticulously examined for remaining cancer cells. In most cases your wound will be reconstructed on the day of surgery. The type of reconstruction is determined by the size and shape of the wound.

Pre surgical meeting with Dr. Skelsey

  • Notify Dr. Skelsey if you regularly take Xarelto, Plavix, Coumadin, aspirin, or other blood thinners and follow recommendations on discontinuation.
  • Discontinue aspirin and related products (Anacin, Bufferin) for 2 weeks before surgery, if approved by your regular physician.
  • Discontinue non-steroidal anti-inflammatory medications (ibuprofen-containing products such as Advil, Motrin, Celebrex) 3 days before surgery.
  • Discontinue Vitamin E for 1 week.

Three days before surgery

  • Wash the surgical area with antibacterial soap (Hibiclens surgical soap or Betadine solution) twice daily for the three days prior to surgery.

Day before surgery

  • Avoid alcohol, which is a blood thinner.
  • Shampoo your hair because your wound will need to be kept dry for at least 24 hours.

Day of surgery

  • Eat a light breakfast.
  • Take your regular medications except as instructed above.
  • Arrange for someone to drive you home after surgery.
  • Wear comfortable, loose-fitting clothing. Please do not wear a pullover if your surgery is to be performed on your face or scalp.
  • Please do not wear contact lenses.
  • Bring reading material, handiwork, iPod or laptop.
  • WiFi is available

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