Mohs Surgery for Wounds? A proposal

I was having a chat a few days ago in New York with Prof. Marjana Tomic-Canic of University of Miami. It triggered an idea that we’d discussed some years ago but I think it rather apropos now:

Perhaps we need to treat wounds in the manner that our Mohs surgery colleagues treat lesions: debride back to clean margins. Obviously, we’ve discussed and written a great deal about appropriate technique in surgical debridement. However, as we’ve said for the longest time: we can’t manage what we can’t measure. Getting accurate bedside “theragnostics” to identify when we have margins that are ready to accept cell signaling from the matrix is when we need to stop. I think that this era is rapidly descending upon us.

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