๐ ็ธฝ็ฎ้ ๏ฝ ๐ ่ฑๆๅๆ๏ผๆฌ็ฏ๏ผ ๏ฝ ๐ ๅฎๆด็ฟป่ญฏ ๏ฝ โญ ็ฒพ่ฏ็ญ่จ
Infection
Infection
If a Mohs wound is left open to heal by secondary intention, the rate of infection is very low. For example, Lawrence et al. allowed 67 relatively large wounds left open to heal by the second intention following skin cancer excision and observed infection in only two cases,46 and Mohs surgeons are generally skilled at assessing whether a wound is appropriate for secondary intention closure.47 Most studies examining infection rates, however, include both Mohs surgery and reconstruction. Wounds sutured closed create dead space and introduce foreign material into the wound, making them more likely to become infected. Despite this, infection occurs in only 1% to 2% of cases,48,49 with higher rates seen in patients with excessive bleeding or hematoma formation. Some studies have suggested that intraincisional injection of nafcillin or clindamycin after Mohs surgery and prior to surgical reconstruction may reduce the risk of postoperative infection.50,51 Prophylactic antibiotics are not routinely recommended unless there is high risk of infective endocarditis, hematogenous joint infection, or surgical site infection.19