Exploring Environmental Sustainability in Mohs Micrographic Surgery

Area of Science:

• Dermatology and Surgical Oncology
• Environmental Science and Public Health

Background:

• Healthcare's environmental impact is a growing concern, necessitating sustainable practices.
• Mohs micrographic surgery (MMS) lacks consolidated environmental sustainability recommendations.
• Balancing patient care with environmental, social, and financial factors is crucial.

Purpose of the Study:

• To systematically review current recommendations and research on environmental sustainability within Mohs micrographic surgery.
• Identify evidence-based strategies to minimize the ecological footprint of MMS.

Main Methods:

• A comprehensive literature review adhering to PRISMA-ScR guidelines was performed.
• Searched major databases (PubMed, ScienceDirect, Scopus, Web of Science, Cochrane) from 2014-2024.
• Included English peer-reviewed studies using specific keywords related to sustainability and Mohs surgery.

Main Results:

• Nine studies met inclusion criteria, offering several sustainability recommendations.
• Suggestions include standardizing surgical sets, minimizing instruments, redesigning procedure rooms for better recycling, and using microtubules to reduce dye waste.
• Virtual preoperative visits were proposed to cut travel emissions, though insurance reimbursement is a barrier.

Conclusions:

• Restructuring surgical protocols and procedure room design can drive innovation in MMS.
• Addressing workflow inefficiencies and traditional practices promotes evidence-based sustainability.
• Implementing these changes can significantly enhance the environmental responsibility of Mohs micrographic surgery.