Podiatrists frequently encounter patients who have undergone Mohs surgery for skin cancer, particularly on the lower extremities. Mohs surgery is a highly precise technique for treating skin cancer, ensuring complete removal of cancer while preserving as much healthy tissue as possible. This method is incredibly effective for basal cell carcinoma, squamous cell carcinoma, and certain melanomas, with success rates as high as 99%. However, the healing process, especially when the wound is left to heal by secondary intention—requires careful management to prevent complications and ensure optimal recovery.
Key Considerations for Healing After Mohs Surgery
Healing by secondary intention can take 6-12 weeks or longer, depending on the wound’s size and location. The wound should be reduced by at least 50% within the first month; otherwise, it may be considered chronic and require advanced intervention. Since open wounds are more susceptible to infection, keeping the wound clean and following prescribed care routines significantly reduces risks.
The Podiatrist’s Role in Post-Mohs Wound Care
Your podiatrist plays a crucial role in wound management, particularly for wounds on the feet and legs. Your podiatrist will assess wound severity, considering factors such as blood flow, pressure, and the patient’s overall health, to develop an individualized treatment plan. The approach often involves regular wound debridement to remove nonviable tissue and promote healing. If a wound is slow to heal, your podiatrist may incorporate advanced techniques such as bioengineered skin substitutes or negative pressure therapy. Your podiatrist will collaborate with your dermatologist, vascular specialist, and other healthcare providers to ensure comprehensive care is tailored to your specific case.
Advanced Healing Approach
. Amniotic Tissue Grafts – Applied immediately post-surgery to promote faster healing and reduce complications, especially for high-risk patients.
. Surgical Closure Solutions – Your team should include surgeons with hospital privileges who can perform split-thickness skin grafts (STSG) and muscle flaps for complex cases.
. Preoperative Planning – Your podiatrist will work closely with Mohs surgeons to ensure graft availability before surgery, allowing for same-day or next-day application.
. Regular Wound Debridement – Your podiatrist removes nonviable tissue and biofilm, enhancing recovery and encouraging healthy tissue formation.
Collaboration Opportunities
Family Foot & Leg Center remains at the forefront of wound care advancements, incorporating research-driven techniques to enhance healing outcomes. Patients who have recently undergone Mohs surgery and have concerns about wound healing can receive specialized support through personalized treatment plans. Appointments are available for those seeking expert care.
Dermatologists are invited to collaborate in optimizing post-Mohs wound management. Through partnership, patient care can be elevated, promoting efficient healing and reducing complications.
Working together ensures the best possible outcomes.
Disclaimer: This content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health care provider with any questions you may have regarding a medical condition.
Sahiba Singh DPM, AACFAS
For more information, you may
contact Dr. Sahiba Singh at
Family Foot & Leg Center at
(239) 430 – 3668 (FOOT).
Family Foot & Leg Center has
8 locations throughout Collier,
Lee, & Charlotte Counties to quickly resolve all your foot and ankle problems.
FAMILY FOOT & LEG CENTER
6846 International Center Blvd, Suite B
Fort Myers, FL 33912
(239) 430 – 3668 (FOOT)
www.NaplesPodiatrist.com