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Related Experiment Video

Updated: Nov 30, 2025

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Sleep during Mohs micrographic surgery: A prospective study.

Jong Seo Park1, Byeol Han1, Seong-Jin Jo1,2

  • 1Department of Dermatology, Seoul National University College of Medicine, Seoul, South Korea.

Dermatologic Therapy
|November 13, 2020
PubMed
Summary

Nearly a quarter of patients undergoing Mohs micrographic surgery (MMS) for skin cancer fall asleep. Older age, larger lesion size, and multi-stage procedures increase the likelihood of patients sleeping during this critical surgery.

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Area of Science:

  • Dermatology
  • Surgical Oncology
  • Sleep Medicine

Background:

  • Mohs micrographic surgery (MMS) is a precise technique for skin cancer treatment.
  • MMS involves multiple steps and can have long surgery durations.
  • Patient movement during surgery, especially if asleep, poses risks like falls.

Purpose of the Study:

  • To determine the prevalence of patients sleeping during MMS.
  • To identify factors associated with patients sleeping during MMS.
  • To understand patient sleep characteristics during MMS procedures.

Main Methods:

  • Prospective study design.
  • Inclusion of patients undergoing MMS for skin cancer.
  • Assessment of anxiety and sleep status using validated questionnaires (State-Trait Anxiety Inventory, VAS, Pittsburgh Sleep Quality Index, Leeds Sleep Evaluation Questionnaire).
Keywords:
Mohs surgeryaccidentfallprevalencesleepsurgery

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Main Results:

  • 21.9% of patients were observed to be asleep during MMS.
  • Older age (OR, 1.142), lesion size >150 mm² (OR, 7.904), and multi-stage MMS (OR, 12.201) were significantly associated with sleep during surgery.
  • This is the first study to report on sleep prevalence and associated factors during MMS.

Conclusions:

  • Sleep during MMS is a notable phenomenon with significant associated factors.
  • Physicians should be aware of patients with risk factors for sleep during MMS.
  • Monitoring patients at risk may help prevent medical accidents during MMS.