{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,19]],"date-time":"2026-06-19T08:28:38Z","timestamp":1781857718861,"version":"3.54.5"},"reference-count":26,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"2","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":["Dermatol Surg","DS"],"published-print":{"date-parts":[[2021,2]]},"abstract":"<jats:sec>\n            <jats:title>BACKGROUND<\/jats:title>\n            <jats:p>As the US population ages, safe surgical procedures are necessary for treatment of cutaneous neoplasms in very elderly patients.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>OBJECTIVE<\/jats:title>\n            <jats:p>To determine the incidence of complications associated with Mohs micrographic surgery (MMS) in patients aged 85 and older, and the risk factors that predispose to complications.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>METHODS<\/jats:title>\n            <jats:p>A 9-year retrospective chart review of patients aged 85 and older who underwent MMS at our institution between 07\/2007 and 11\/2016 was performed. Six types of complications associated with scalpel-based cutaneous surgery were recorded, as well as patient, tumor, and repair characteristics.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>RESULTS<\/jats:title>\n            <jats:p>This study included 949 patients totaling in 1683 MMS cases. There were 30 complications: infection (<jats:italic toggle=\"yes\">N<\/jats:italic> = 11), wound dehiscence (<jats:italic toggle=\"yes\">N<\/jats:italic> = 6), hematoma (<jats:italic toggle=\"yes\">N<\/jats:italic> = 6), hemorrhage (<jats:italic toggle=\"yes\">N<\/jats:italic> = 5), flap necrosis (<jats:italic toggle=\"yes\">N<\/jats:italic> = 1), and graft necrosis (<jats:italic toggle=\"yes\">N<\/jats:italic> = 1), resulting in an overall complication rate of 1.78%. Independent risk factors associated with a statistically higher incidence of complications were anticoagulant use (odds ratio [OR], 2.78; 95% confidence interval [CI], 1.26\u20136.13; <jats:italic toggle=\"yes\">p<\/jats:italic> = .012), extremity location (OR, 2.80; 95% CI, 1.19\u20136.54; <jats:italic toggle=\"yes\">p<\/jats:italic> = .018), greater than 2 MMS stages (OR, 2.43; 95% CI, 1.08\u20135.46; <jats:italic toggle=\"yes\">p<\/jats:italic> = .032), and flap repair (OR, 2.27; 95% CI, 1.05\u20134.90; <jats:italic toggle=\"yes\">p<\/jats:italic> = .036).<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>CONCLUSION<\/jats:title>\n            <jats:p>Mohs micrographic surgery is a safe procedure for treatment of cutaneous neoplasms in the very elderly.<\/jats:p>\n          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