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اللاسلكية","alias":"radiofrequency-ablation"}]}}],"hasVideoReviewsByContext":true,"updatedAt":"2026-10-19T08:20:10.311Z","activeCountries":["DO","TR","ES","DE","TH"],"operationIndicators":{"details":{"anesthesia":"local","days_in_clinic":1,"days_in_country":2,"rehabilitation_days":1,"satisfied_percent":78,"treatment_duration_hours":3},"illness_kind_details":{"requests_processed":46119}},"direction":{"id":10,"name":"طب الأورام","alias":"oncology","name_forms":{"base_form":"طب الأورام","form_4":"طب الأورام","form_6":"طب الأورام","form_11":"طب الأورام"}},"illness_kind":{"id":10,"name":{"en":"Oncology"}},"parsed_details":{"procedure_type":"surgery","fields":{"anesthesia":["local"],"back_to_work_days":{"min":1,"max":7,"unit":"days","qualifier":"For small-to-moderate excisions with simple closure and desk work; flaps, grafts or facial/eyelid sites may take longer."},"complication_rate_pct":{"min":1,"max":5,"unit":"percent","qualifier":"Any surgical complication (bleeding, infection, dehiscence) within about 30 days; serious ones under 1%."},"contraindications":["Cannot tolerate prolonged procedure under local anesthesia (relative)","Allergy to local anesthetic agents (relative)","Uncontrolled bleeding disorder or unmanaged anticoagulation issues (relative; requires planning)","Active infection at surgical site (relative; delay until treated)","Widespread or deep tumor needing wide or multidisciplinary excision (relative)"],"days_in_clinic":{"min":0,"max":0,"unit":"nights","qualifier":"Performed as an outpatient procedure on the same day, including waiting between tissue-mapping rounds."},"diagnostic_duration_minutes":null,"diagnostic_preparation":null,"diagnostic_referral_needed":null,"diagnostic_result_time_hours":null,"exercise_resume_weeks":{"min":2,"max":4,"unit":"weeks","qualifier":"Strenuous activity that stretches the wound is usually avoided until the surgeon clears it; depends on site and closure 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year."}}],"indications":["Basal cell carcinoma: recurrent, ill-defined, aggressive, or high-risk sites","Squamous cell carcinoma in high-risk sites or with high-risk features","Selected rare tumors (DFSP, lentigo maligna, extramammary Paget disease)","Skin cancers on functionally or cosmetically sensitive sites"],"main_risks":["Bleeding or hematoma","Wound infection","Wound dehiscence or delayed healing","Visible scarring, including hypertrophic scar or contour change","Temporary or permanent numbness or nerve injury, depending on site","Tumor recurrence","Larger-than-expected defect needing flap, graft or staged reconstruction","Pain and swelling or bruising, especially periocular"],"pain":"Injection of local anesthetic stings briefly; the procedure itself is usually painless. Mild to moderate soreness for a few days afterward, usually controlled with simple analgesics.","preparation":["Review medical history, allergies and medications with surgeon","Confirm biopsy-proven diagnosis and tumor site with surgeon","Expect most of the day at clinic; bring entertainment","Eat normally unless instructed otherwise","Arrange companion or transport if near eyes or reconstruction expected","Discuss smoking and alcohol before surgery as they affect healing"],"recovery_timeline":[{"phase":"Day of surgery","description":"Tumor removed in layers with microscopic margin checks, followed by repair, and a pressure dressing is applied.","restrictions":["Keep dressing dry and in place","Rest and limit exertion"]},{"phase":"First week","description":"Swelling and bruising peak in days 2-3; dressing care and early wound checks.","restrictions":["Avoid heavy lifting and straining","Avoid stretching the wound","Avoid smoking"]},{"phase":"Weeks 1-4","description":"Sutures removed if non-absorbable; wound closes and gradually strengthens.","restrictions":["Avoid strenuous exercise until cleared","Protect from sun"]},{"phase":"Months 1-12","description":"Scar remodeling and softening; surveillance for new skin cancers.","restrictions":["Use sun protection on the scar"]}],"rehabilitation_days":{"min":7,"max":14,"unit":"days","qualifier":"Ordinary functional recovery for typical simple closure; larger reconstructions take longer."},"result_longevity":"Cure rates are about 95-99% for primary basal and squamous cell cancers, and the scar is permanent. New skin cancers can develop, so lifelong skin surveillance is advised.","revision_rate_pct":{"min":1,"max":5,"unit":"percent","qualifier":"Patients needing scar revision or repeat surgery for recurrence or poor scar, within several years."},"scars":"Linear or flap/graft scar sized to the defect, usually larger than the visible tumor; typically fades over 6-12 months. Healing by secondary intention leaves a flat, often well-blended scar.","sessions_or_stages":{"sessions":{"min":1,"max":1,"unit":"visits","qualifier":"Tumor removal and margin clearance are completed in one visit."},"stages":[{"code":"layered_excision_and_margin_mapping","label":"Layered excision with same-day microscopic margin examination, repeated until clear","after":{"min":0,"max":0,"unit":"days","qualifier":"Same day"}},{"code":"defect_repair","label":"Repair of the defect (primary closure, flap, graft or secondary intention)","after":{"min":0,"max":0,"unit":"days","qualifier":"Usually same day; may be staged or done by another surgeon"}}],"qualifier":"Typical uncomplicated single-tumor case; follow-up checks are excluded."},"success":{"metric":"Tumor-free (no recurrence) after Mohs for primary BCC/SCC","value":97,"unit":"percent","horizon":"5 years","population":"Adults with primary basal or squamous cell skin cancer treated with Mohs","evidence_status":"limited"},"techniques":[{"name":"Mohs micrographic surgery with frozen-section horizontal margin examination","suits_whom":"Standard approach for eligible high-risk basal and squamous cell skin cancers.","recovery":"Wound healing over 1-4 weeks depending on repair."}],"treatment_conditions":["outpatient"],"treatment_duration_hours":{"min":2,"max":5,"unit":"hours","qualifier":"Whole visit for one tumor, including frozen-section waits over 1-3 rounds and simple repair; complex reconstruction takes longer."},"initial_assessment_documents":["Biopsy pathology report","Close-up photos of the lesion","Photos showing lesion location on face or body","Previous skin cancer treatment records (if available)","List of blood thinners"],"travel_trips":{"min":1,"max":1,"one_trip_possible":true,"qualifier":"Same-day outpatient surgery and repair; stay 7-14 days if sutures are removed locally, shorter with absorbable sutures."}}},"hrefLanguages":[{"rel":"alternate","hreflang":"ru","language":"ru","href":"https://ru.bookimed.com/clinics/country=dominikanskaya-respublika/procedure=mikrohirurgicheskaya-operaciya-mosa/"}],"offerFilters":{"offer_count":0,"price_filter":{"from":0,"to":0,"avg":0}},"illnessesByOperation":[{"id":53,"alias":"melanoma","name":"سرطان الجلد"},{"id":156,"alias":"basalioma","name":"Basalioma"}],"rendersOffersList":false}