Use of ex vivo confocal scanning laser microscopy during Mohs surgery for nonmelanoma skin cancers.

Background: Ex vivo confocal scanning laser microscopy offers rapid optical reflectance imaging of excised tissue without conventional frozen histopathology that can potentially expedite Mohs surgery.

Objective: The objective was to determine the feasibility of using ex vivo confocal scanning laser microscopy during Mohs surgery for detecting residual basal cell carcinoma and squamous cell carcinoma.

Methods: One-hundred fifteen Stage I Mohs surgery excisions (92 basal cell carcinoma, 23 squamous cell carcinoma) were imaged with acetowhitening and confocal scanning laser microscopy and compared to conventional Mohs frozen histologic sections for normal and tumor features.

Wound dressings for office-based surgery.

Since the turn of the 20th century, our understanding of wound healing has changed completely. Because of this, we now realize that wounds heal better under occlusive or semi-occlusive conditions. This revelation has led to the creation of a vast array of wound-dressing techniques and products that any office-based surgeon must use on a daily basis.