Mohs Surgery

In the 1994 article, Dr. Leonard M. Dzubow emphasized the importance of vigilance in every step of Mohs surgery, a technique used to treat skin cancer. He compared the procedure to playing tennis, where both skill and a "feel for the game" are necessary. Dzubow warned that any flaw in the process, such as incorrect mapping, inappropriate dye application, misorientation of tissue sections, or missing obvious tumors, could invalidate the entire procedure. He also discussed the challenges of interpreting inflammation and the possibility of tumors hiding below scars. Dr. Hruza's retrospective analysis within the same issue revealed that 40% of recurrences after Mohs surgery were due to technical laboratory problems, while the rest were due to surgical errors or mistakes in histologic interpretation. Dzubow concluded that to achieve high cure rates, physicians must meticulously examine each section and treat every abnormality with suspicion, as the responsibility for any failure in the procedure lies solely with them. Additionally, Dr. Lucas proposed an innovative solution for hair restoration surgery, suggesting the extraction of small grafts from large transplants to create additional grafts and reduce the size of the large grafts, thereby improving aesthetics even when traditional donor sites are depleted.