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Nail surgery among Mohs surgeons: prevalence, safety, and practice patterns
Alyssa Findley1, Kachiu Lee, Nathaniel J Jellinek
1*Dermatology Professionals, Inc., East Greenwich, Rhodes Island; †Department of Dermatology, The Warren Alpert Medical School at Brown University, Providence, Rhodes Island; ‡Division of Dermatology, University of Massachusetts Medical School, Worcester, Massachusetts.
Summary
Mohs surgeons safely perform most nail surgeries in the US. Practice patterns vary, but complications are rare, indicating a safe approach to nail procedures.
Area of Science:
- Dermatology
- Surgical Oncology
- Nail Surgery
Background:
- Mohs surgeons perform the majority of nail surgeries among US dermatologists.
- Current practice patterns and safety protocols for nail surgery by Mohs surgeons are not well-documented.
Purpose of the Study:
- To investigate the practice patterns of Mohs surgeons performing nail surgery.
- To identify safety precautions and assess complication rates associated with nail surgery performed by Mohs surgeons.
Main Methods:
- An electronic survey was distributed to members of the American College of Mohs Surgery Listserv.
- The survey collected data on surgeon demographics, surgical procedures, techniques for achieving a bloodless field, and reported complications.
Main Results:
- Surgeons with more procedural experience during training and those further from fellowship completion performed more nail surgeries.
- Complications associated with nail surgery performed by Mohs surgeons were infrequent.
Conclusions:
- Nail surgeries conducted by Mohs surgeons are demonstrated to be safe.
- Despite diverse techniques for achieving a bloodless field and a variety of procedures, complication rates remain minimal.
