Mohs surgery is a highly effective technique for removing skin cancer, offering a very high cure rate. A crucial part of the post-operative healing process is proper bandage care. Knowing how long to keep the bandage on and how to care for the wound afterward is vital for optimal healing and minimizing the risk of infection. This guide will answer that question and address related concerns.
How Long Should the Bandage Stay On After Mohs Surgery?
Generally, your surgeon will instruct you to keep the bandage on for 24 hours after Mohs surgery. However, this timeframe isn't universally fixed. Several factors can influence this:
- The size and depth of the wound: Larger or deeper wounds might require a slightly longer initial bandage period.
- The location of the surgery: A wound in a high-friction area (like the elbow or knee) may need the bandage kept on a bit longer to protect it.
- Your surgeon's specific instructions: Always prioritize your surgeon's post-operative care instructions as they know your specific case best.
What Happens After 24 Hours?
After the initial 24-hour period (or as instructed by your surgeon), carefully remove the bandage. You'll likely see some slight bleeding or oozing – this is normal. Gently clean the area with a mild soap and water, patting it dry. Your surgeon will likely recommend a specific ointment or dressing to apply to the wound. This might be a thin layer of antibiotic ointment to prevent infection, followed by a non-stick dressing. Some surgeons may advise leaving the wound open to air. Again, follow your surgeon's specific instructions.
What if the Wound Starts Bleeding?
Minor bleeding or oozing is expected. However, if you experience significant bleeding that soaks through your dressing, contact your surgeon immediately.
When Should I Change the Dressing?
After the initial bandage removal, dressing changes will depend on your surgeon's instructions and the wound's healing progress. Typically, you might change the dressing once or twice a day until the wound is largely closed, keeping it clean and dry.
What Kind of Dressing Should I Use?
Your surgeon will likely recommend a specific type of dressing. Common options include non-stick dressings or gauze pads. Avoid using anything that might stick to the wound, potentially disrupting the healing process and causing further pain.
How Do I Know if the Wound is Infected?
Keep an eye out for signs of infection, such as increased pain, swelling, redness that extends beyond the wound site, excessive pus or drainage, or fever. Contact your surgeon promptly if you notice any of these symptoms.
Can I Get the Wound Wet?
Generally, you should avoid submerging the wound in water (like bathing or swimming) until your surgeon indicates it's safe to do so. Gentle cleansing with soap and water is usually acceptable, but again, follow your doctor's recommendations carefully.
How Long Does it Take to Heal Completely?
The healing time varies depending on several factors including the size and depth of the wound, your overall health, and how well you follow your doctor's instructions. However, most wounds begin to heal within a few weeks. Your surgeon will monitor the healing process during follow-up appointments.
Remember, this information is for general guidance only. Always follow your surgeon's specific instructions regarding bandage removal, wound care, and any other post-operative recommendations. They're the best source of information for your particular case. Open communication with your surgical team is crucial for a smooth and successful recovery.
