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Exploring Environmental Sustainability in Mohs Micrographic Surgery.

Rewan M Abdelwahab1, Muhab Abdelwahab2, Nahid Y Vidal1,3

  • 1Department of Dermatology, Mayo Clinic, Rochester, Minnesota.

Dermatologic Surgery : Official Publication for American Society for Dermatologic Surgery [Et Al.]
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PubMed
Summary

This study reviews environmental sustainability in Mohs micrographic surgery (MMS). Key recommendations include optimizing surgical sets, improving recycling, and reducing waste through innovative techniques like virtual visits for Mohs procedures.

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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.