Fire Safety in Mohs Micrographic Surgery
1*Both authors are affiliated with the Division of Dermatology, Department of Medicine, University of Washington School of Medicine, Seattle, Washington.
Summary
Surgical fires are rare in Mohs surgery, with an incidence of 1 per 88,620 cases. While risks are minimal, increased awareness and safety measures are crucial to prevent patient harm during these procedures.
Area of Science:
- Dermatology
- Surgical Safety
Background:
- Surgical fires, though rare, can lead to severe patient harm.
- Understanding their occurrence is vital for improving patient safety in surgical settings.
Purpose of the Study:
- To determine the incidence, risk factors, and outcomes of surgical fires within the American College of Mohs Surgeons (ACMS).
Main Methods:
- An internet-based survey was distributed to ACMS members.
- Data collected included surgeon experience, case volume, oxygen use, and reported surgical fires.
Main Results:
- Nine surgeons reported fires in 886,200 cases, an incidence of 0.001%.
- The scalp was the most common site (67%), with monopolar electrosurgery (78%) as the primary ignition source.
- While most injuries were minor (singed hair), preventative measures are still essential.
Conclusions:
- The risk of surgical fire in Mohs surgery is low.
- Enhanced safety protocols and heightened awareness are necessary to mitigate potential patient harm.
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