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National Trends in Repair Type Selection After Mohs Micrographic Surgery: A Benchmark Analysis Using TriNetX.

Travis S Dowdle1, Madelyn Schmidt2, Frank T Winsett1

  • 1Department of Dermatology, University of Texas Medical Branch, Galveston, Texas;.

Dermatologic Surgery : Official Publication for American Society for Dermatologic Surgery [Et Al.]
|September 3, 2025
PubMed
Summary
This summary is machine-generated.

Mohs surgery reconstruction patterns show complex repairs are most common, but their use has declined. Understanding national trends helps surgeons benchmark their own Mohs reconstructive practices.

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Area of Science:

  • Dermatology
  • Plastic Surgery
  • Health Services Research

Background:

  • Reconstruction is vital after Mohs micrographic surgery for patient outcomes.
  • National data on real-world reconstructive techniques by anatomical site are limited.

Purpose of the Study:

  • To characterize national repair patterns by anatomical site after Mohs micrographic surgery.
  • To analyze trends in reconstructive methods over time.

Main Methods:

  • Utilized the TriNetX research network with 607,214 Mohs surgery cases (2006-2024).
  • Categorized repairs using CPT codes and stratified by anatomical subunit via ICD-10 codes.
  • Assessed temporal trends using chi-squared tests.

Main Results:

  • Complex repairs (34%) and no same-day repair (19%) were most frequent.
  • Island pedicle flaps and complex repairs significantly declined over time (P<0.0001).
  • Intermediate repair use increased, while local flaps, skin grafts, and no same-day repair showed a slight downward trend.

Conclusions:

  • This study offers insights for Mohs surgeons to benchmark their reconstructive practices against national norms.
  • Understanding practice patterns relative to national data is crucial for optimizing patient care.