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

Staged Excision (Slow Mohs) (7539)

Staged Excision (Slow Mohs) (7539) - Clinical Hub, Patient Education, Health and Nutrition Facts For You, Dermatology



UW Health West Clinic UW Health East Clinic
451 Junction Road 5249 East Terrace Drive
Madison, WI 53717 Madison, WI 53718
608-263-6226 608-265-1288
1-800-323-8942 1-800-323-8942

Staged Excision (Slow Mohs)

Mohs Surgery Clinic evaluates and treats
skin cancers and non-cancerous skin
growths. There are different kinds of skin
cancer. These include basal cell
carcinoma, the most common form of skin
cancer, squamous cell carcinoma, and
melanoma. Most skin cancers can be cured
if found and treated early.

Staged Excision is a way of removing
shallow melanoma skin cancers that usually
takes 2 or more visits. At each visit, the area
of skin cancer is surgically removed and
sent to our UW pathology lab. This tissue is
processed in a special way to allow any
melanoma cells to be identified. Results can
take from 2 days up to 2 weeks. If there is
still melanoma at the edges, this can be re-
excised at your next visit. You may have a
bandaged wound and multiple visits over a
few days or even weeks to ensure that the
cancer is completely removed.
Repair of the wound follows once all the
cancer cells have been removed. Depending
on the size and location on the body, you
may need a plastic surgeon.
Though this method has many steps, it
preserves as much healthy skin as possible
and has the highest cure rate. In
comparison to other types of skin cancer,
melanoma cannot be identified with faster
tissue processing as is done during
traditional Mohs surgery.
Although it is called ‘Slow’ Mohs, the tissue
is actually given high priority in the lab and
the special processing is expedited.

Preparing for surgery
On the day of your surgery, wash the area
with antibacterial soap before coming to
clinic. If the procedure is on your face, do
not wear make-up, including eye make-up.
Wear comfortable, layered clothing.
You may eat regular meals on the day of
surgery, including breakfast. You may
listen to an ipod or music during the surgery.
As a courtesy to all patients, we ask that all
cell phones and pagers be turned off in
the procedure rooms.
Take all routine prescribed medicines,
including any prescribed for blood
thinning. Medicines that relax you (anti-
anxiety) can be taken if given by your
referring provider. Bring the medicine 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
If your skin cancer or non-cancerous growth
is located around your mouth or lips, you
may need to take antibiotics before surgery.
Also, if you have had a heart valve
replacement, joint replacement, or organ
transplant. Please ask your primary doctor

about prescriptions before your
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
Relatives or friends may come with you to
your appointment. 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 effects
vision. Because of this, or if you plan to
take anti-anxiety or prescription pain
medicines, you will need a driver.

Day of surgery
When you arrive, you will check in at the
registration desk, or a kiosk. In clinic, the
staff and the surgeon will discuss your
treatment with you. You will be given a
local anesthetic to numb the area. The skin
cancer will be removed and sent to the
pathology lab. The wound may be partially
closed with stitches or just bandaged tightly.
When the pathology results come back clear,
your surgeon will decide what is best to heal
your wound. It will depend on the size,
location on the body, and what you want.

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 your surgery.
You will return to the Mohs clinic, a plastic
surgeon, or see your local provider to have
the stitches removed in usually 1 to 3 weeks.
You will need routine follow up skin
exams. You may schedule here, with your
referring dermatologist, or with your
primary doctor. The surgeon will help you
decide this. All forms of skin surgery will
leave a scar. Most sites heal very well and
may take up to a full year. Our clinical staff
will answer any future questions or concerns
about a scar.

Insurance and billing
If you are being referred under a prepaid
insurance program such as Physicians Plus,
Dean Care HMO or Group Health
Cooperative, please make sure that you
have a referral from your regular provider
before your appointment 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.

Your health care team may have given you this information as part of your care. If so, please use it and call if you
have any questions. If this information was not given to you as part of your care, please check with your doctor. This
is not medical advice. This is not to be used for diagnosis or treatment of any medical condition. Because each
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 Hospitals
and Clinics Authority. All rights reserved. Produced by the Department of Nursing HF#7539