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Commentary: Comparison of the Prevalence of Surgical Site Infection with Use of Sterile and Nonsterile Gloves for Resection and Reconstruction During Mohs Surgery

Mohs micrographic surgery is generally regarded as a clean rather than a sterile procedure because of the multiple steps involved that compromise strict sterility and the delay between excision and repair. It stands to reason that the use of sterile gloves rather than cleannonsterile gloveswould not affect the infection rate, but there is no accepted standard of care regarding the use of sterile gloves for tumor excision or reconstruction. Some surgeons excise the tumor using clean technique and then perform the reconstruction using sterile technique. SomeMohs surgeons use sterile technique throughout the entire process. Some surgeons prefer using chlorhexidine over betadine. It is widely accepted, nevertheless, that good surgical preparation and hand washing are critical elements in infection control.