Mohs surgery is a medical technique for treating a variety of skin malignancies that makes use of tangentially sliced frozen-section histology to provide perfect microscopic monitoring of the edges. The operation is seen to be the best treatment option for many different forms of melanoma. The process, also known as Mohs micrographic surgery, is carried out in phases whilst individual waits and includes lab testing. To maximize the chance of curing cancer, all malignant cells can be removed whilst protecting surrounding cells and maintaining the lowest scar feasible. The majority of head and neck skin malignancies, as well as reoccurring or anatomically malignant tumors, are now treated with Mohs Micrographic Surgery in Islamabad, Rawalpindi & Pakistan.
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The Essence of the Treatment:
Many melanomas are treated and cured with surgery. This operation is performed by surgeons with Mohs surgery training. It enables the removal of skin cancer with minimal harm to the surrounding healthy skin.
As no further skin is taken during Mohs’s operation, the tiniest surgical defect is produced as the malignancy is excised one layer by layer. The Mohs operation can be employed to treat a variety of skin malignancies, however, it is particularly commonly used to treat skin cancer. Patients can achieve the maximum cure rate while decreasing the width of the operative defect and associated scar thanks to the technique’s extreme precision.
The two main benefits of Mohs operation are that it has a high success rate and only removes tissue wherever cancerous cells are found. This lowers the danger of damage or skin deformity and ensures that the underlying healthy cells are preserved. The procedure reduces the likelihood of recurrence as well. This special method is most suited for conditions like malignancies around the eyelids, nose, mouth, and temples, where maintaining as many healthy cells as feasible is crucial.
When to Go for the Surgery?
The individual should go for the surgery in case of the following;
- The melanoma had already undergone treatment, but either it had not been entirely eradicated or had returned.
- The size of the melanoma or its unclear edges is also a drawback.
- Tumors, targeted therapies, or medications the individual is receiving have all harmed your immune response.
- There is a thicker tumor.
- A scar or previous radiation therapy was administered.
- If the tumor was on the ears, lips, nose, eyes, forehead, hands, toes, fingernails, or genitalia, there is a greater possibility that it will return.
In the first appointment for Mohs Micrographic Surgery in Islamabad & Pakistan with the surgeon, the doctor first carries out a detailed examination and diagnosis of the kind of tumor it is. The medical history and records of the patient are also reviewed. First, the doctor carries out other alternative treatment options before directly going for the surgery. When other treatment options fail to provide the desired results, surgery is then recommended. Once the surgery is decided, the doctor then provides some guidelines to prepare the patient for the operation. These include instructions
- Quit using some medications, including aspirin as well as other beta-blockers that aren’t prescribed.
- If your specialist has not instructed you to discontinue using a prescription medication, do not.
- Give up smoking.
- If necessary, make arrangements for an individual to take you back home after your operation.
- The treatment region is first numbed so that the patient doesn’t feel any pain or discomfort during the surgery.
- The doctor uses a local anesthetic therefore the patient stays awake during the surgery
- The visible tumor is removed along with a thin layer of the tissues surrounding it
- This is then examined under the microscope
- The removed sample is then checked for tumor
- The surgeon will remove an additional layer and examine it under a telescope to determine whether there is cancer present.
- This procedure is repeated until no more malignancy is detected in any layer.
- About an hour is spent on each round. The operation takes ten to twenty minutes, and approximately forty to fifty minutes are needed to prepare the tissue and examine it under a microscope.
- To eradicate all melanomas, around two cycles of the procedure are required. More layers may be needed to be removed if the tumor is larger or deeper.
The skin will appear its best if the patient takes the necessary treatment of the injury following surgery. The physician will discuss the options with the patient:
- Let a tiny wound recover on its own. Most minor injuries recover fully on their own.
- The injury should be stitched shut.
- Employ skin grafts. Tissue from some other area of the body is used by the surgeon to heal the injury.
- Employ skin patches. The skin nearest to the injury is covered by the surgeon. The injury and nearby skin have the same color and texture.
The treatment cost for the operation of a skin tumor is usually covered by health insurance. This is because the surgery falls under the category of medically important treatments and otherwise the health of the individual may be affected. However, the insurance providers should be contacted to ensure what percent of the cost is covered.
The average cost for Mohs Micrographic Surgery in Islamabad, Rawalpindi & Pakistan ranges from Rs. __ to Rs. __. The actual cost depends on the current condition of the patient’s tumor and the complications of the surgery. The final cost is determined by the surgeon after considering all the factors that affect the cost of the operation.
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