A national survey of Mohs micrographic surgery in the U.K.

Mann, J.; Al‐Niaimi, Firas; Cooper, Adam I.; Ghura, V.

doi:10.1111/bjd.14090

Cited by 5 publications

(4 citation statements)

References 3 publications

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“…Most respondents (35 of 41, 85%) operated in an outpatient setting, and the remainder operated in hospital theatres with strict airflow requirements. The demographics of our respondents are comparable with the findings of a recent survey of the same group with a higher response rate …”

Section: Summary Of Infection Control Practices In Mohs Micrographic supporting

confidence: 84%

Infection control practices in Mohs micrographic surgery: a U.K. national survey

2017

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Section: Summary Of Infection Control Practices In Mohs Micrographic supporting

confidence: 84%

Infection control practices in Mohs micrographic surgery: a U.K. national survey

2017

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“…MMS reduces the recurrence rate for primary BCC at 5 years to between 0 and 1% and for primary SCC to about 4% [ 11 , 16 – 19 ]. Whilst tumour recurrence rates are demonstrably lower using margin control, and in particular MMS, surgery with IOMC also potentially has disadvantages: it is more time and resource intensive, requiring two and sometimes more procedures, separated by several hours and sometimes days across different hospitals [ 20 ].…”

Section: Discussionmentioning

confidence: 99%

Access to intraoperative tumour margin control: a survey of the British Oculoplastic Surgery Society

Oliphant

Clarke

et al. 2020

Eye

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Background Periocular malignancy is common and in most cases will undergo excision with pre-determined margins and subsequent histological examination. Intraoperative margin control (IOMC) modalities such as fast frozen section (FFS), fast paraffin (FP) and Mohs micrographic surgery (MMS) are being increasingly widely used, though there is a lack of information regarding utility. The aim of this study was to survey members of the British Oculoplastic Surgery Society (BOPSS) to determine attitudes and access to different modalities of IOMC. Methods A 12-question online survey was disseminated via an e-mail to full members of the BOPSS. The survey was hosted using Qualtrics software via the University of Sussex. Results The overall response rate was 64 of 165 (38.8%). MMS was readily available in a neighbouring trust to 23 of 64 respondents (35.9%). Seven respondents (10.9%) reported no regional access to MMS. Twenty-nine members had readily available access to FFS (45.3%) and 37 of 64 to FP (57.8%) in their own institution. There is variation in what tumour types would be considered appropriate for IOMC, though most thought clinically ill-defined (morphoeic) basal cell carcinoma (BCC) and squamous cell carcinoma (SCC) should undergo one form of IOMC (90.6% and 81.3%, respectively). Conclusion This study highlights variation in availability and utilisation of IOMC amongst oculoplastic surgeons and in different regions of the UK. While the exact place of IOMC in periocular tumour excision is debated, there is a consistent view that it should be available for some tumours. Greater consistency in provision may improve patient outcomes.

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“…1,2 There is a paucity of data on the current work practices of UK MMS surgeons, with the last national survey completed in 2011. 3 We identified current MMS practices in the UK by distributing a survey via email to members of the British Society of Dermatologic Surgery, which was completed online (Surveyhero © website; https://www.surveyhero.com/) during the period February-July 2020.…”

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confidence: 99%

UK National Mohs Surgeon Survey 2020

Alani

Wernham

Mann

et al. 2021

Clin Experimental Derm

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The most important aspect of management in these cases is immediate withdrawal of the suspected agent, because small pustules in a localized patch may progress to a more generalized pustular rash. 5 Treatment is supportive, and because of the self-limiting nature of the disease, no specific treatments are usually needed. However, topical or systemic corticosteroids can be used to hasten resolution. 2 We discontinued enoxaparin for our patient, and prescribed topical corticosteroid (betamethasone) cream to be used twice daily. The pustules resolved rapidly over several days.In conclusion, we present a case of a woman with a cutaneous drug reaction consistent with ALEP that occurred after enoxaparin. This case highlights enoxaparin as a novel causative agent for this type of drug reaction.

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A national survey of Mohs micrographic surgery in the U.K.

Abstract: Plain language summary available online

Cited by 5 publications

References 3 publications

Infection control practices in Mohs micrographic surgery: a U.K. national survey

Infection control practices in Mohs micrographic surgery: a U.K. national survey

Access to intraoperative tumour margin control: a survey of the British Oculoplastic Surgery Society

UK National Mohs Surgeon Survey 2020

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