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20180102

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UWHC,UWMF,

Clinical Hub,Patient Education,Health and Nutrition Facts For You,Dermatology

Mohs and Dermatological Surgery Clinic (4616)

Mohs and Dermatological Surgery Clinic (4616) - Clinical Hub, Patient Education, Health and Nutrition Facts For You, Dermatology

4616

MOHS AND DERMATOLOGICAL SURGERY CLINIC

Mohs Micrographic Surgery was
developed by Dr. Frederic Mohs. He was a
surgeon and researcher at the University of
Wisconsin Hospitals and Clinics. Mohs
Surgery Clinic evaluates and treats skin
cancers, and uncontrolled growth of cells in
the skin. There are many kinds of skin
cancer including basal cell carcinoma, the
most common form, and squamous cell
carcinoma. Most skin cancers can be cured
if found and treated early.

Mohs surgery keeps as much normal tissue
as possible and offers the highest cure rate.
Other treatments include excision, burning
and scraping, prescribed creams, or
radiation.

Preparing for Surgery
On the day of your surgery if the procedure
is on your face, do not wear any make-up,
including eye make-up. Wear comfortable
layered clothing.

You may eat regular meals on the day of
surgery, including breakfast. You may
want to bring some snacks and beverages to
eat and drink while you are in the waiting
area. We suggest that you also might bring
a book, magazine, or laptop computer. As a
courtesy to all patients and staff, we ask
that all cell phones and pagers be turned
off in the procedure rooms.

Take all regular prescribed medicines,
including any prescribed for blood
thinning. Medicines that relax you (anti-
anxiety) can be taken if given by your
referring provider. Bring them with you and
take only after you have talked with the
surgeon and agreed to the procedure. Do not
take them at home. You will need to have a
driver if you decide to use these medicines.

If you have had a heart valve replacement,
joint replacement, or organ transplant you
may need to take antibiotics before Mohs
surgery. Please talk with your own doctor
before your appointment for instructions and
prescriptions.

Bring a complete list of current medicines
that you take, including dosage. Bring a
list of your past and present health problems
and surgeries. We need to know of any
implanted devices such as a pacemaker or
defibrillator.

Relatives or friends may come with you to
your appointment, but they will need to
stay in the waiting room during the
procedure. If you are having surgery on
the face, especially in the eye area, forehead,
or upper cheek, there may be swelling that
affects vision. Because of this, or if you
plan to take anti-anxiety or prescription pain
medicines, you will need a driver.

Plan to be in our clinic for most or all of
the day for removal and analysis of the
tissue. Repair of a defect will follow once
the clear margins are known. Schedule
nothing else that day.

If you need to cancel your appointment,
please call us as soon as possible and at least
24 hours before. This allows us to schedule
other patients.

Day of Surgery
When you arrive, you will check in at the
registration desk, or a kiosk, and then go to
the clinic located in the lower level. In
clinic, staff and the surgeon will talk about
the treatment you will have. You will be
given a local anesthetic to numb the area.
The tissue will be removed and sent to our
Mohs laboratory. After the tissue is
removed, any bleeding will be stopped and

the area will be bandaged. You will wait in
our clinic waiting area until the tissue is
processed and analyzed by the surgeon. If
any remaining cancer cells are seen, your
surgeon will remove the involved areas. In
this way, the process can be repeated as
many times as needed until the margins are
clear.

After all of the cancer is removed, your
surgeon will decide what is best for healing.
This may include healing naturally, closing
with stitches, or doing a skin flap or graft.
Rarely is there a need for repair by a plastic
surgeon. Areas that are close to the eye
sometimes need repair by an oculoplastic
surgeon. It will depend on the size of the
wound, location, and your preferences.

After Surgery
As with any surgery, there will be
instructions to make sure of the best
outcome for you. For a few days after
surgery, you may have pain, fatigue and
swelling which will limit how much you can
do. Depending on the body part involved,
you will have restrictions for one to several
weeks. Your surgeon will talk with you after
the surgery is done.

You will return to the Mohs clinic or see
your local provider to have the stitches
removed in 1 to 3 weeks depending on the
site. You will need routine follow up skin
exams. You may schedule these here, with
your referring dermatologist, or with your
primary doctor. The surgeon will decide
this after your visit. All forms of skin
cancer treatment will leave a scar. Most
sites heal very well. Many take a full year.
Future questions or concerns about the scar
should be directed to our clinic.

Please watch our “What to Expect” video to
prepare for your surgery appointment by
visiting
https://www.uwhealth.org/mohs/understandi
ng-mohs-surgery/51627

Insurance and Billing
If you are being referred under a prepaid
insurance program such as Quartz, , Dean
Care HMO or Group Health Cooperative,
please make sure that you have a referral
from your provider before your visit here.
This will avoid delays.

For UW Health physician billing questions
call the UW Medical Foundation at 608-
833-6090. For UW Health clinic billing
questions you can call 608-262-2221.

Priceline can give estimates of cost at 608-
263-1507.

UW Health West Clinic
451 Junction Road
Madison, WI 53717
608-263-6226

UW Health East Clinic
5249 East Terrace Drive
Madison, WI 53718
608-265-1288


The Spanish version of this HFFY is 7399







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person’s health needs are different, you should talk with your doctor or others on your health care team when using
this information. If you have an emergency, please call 911. Copyright © 10/2017 University of Wisconsin Hospital
and Clinics Authority. All rights reserved. Produced by the Department of Nursing. HF#4616