Determining the impact of surgical scissor type on patient experience during Mohs micrographic surgery : a randomized control trial
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INTRODUCTION: Environmental factors during dermatologic surgery can exacerbate anxiety and affect patient experience. Previous studies have evaluated the impact of smells [1] and sounds [3] on patient experience during Mohs micrographic surgery (MMS), but no study has evaluated how the metallic clipping sound generated by surgical scissors impacts patient experience. METHODS: We conducted a prospective, single-blinded, randomized controlled trial including 148 adult patients presenting for MMS to evaluate how the clipping sound generated by surgical scissors impacts patient experience. Patients were randomized into one of three groups: 1. A control group with traditional curved Iris scissors, 2. An intervention group with modified curved Iris scissors, 3. A comparative arm where patients experienced both the traditional and modified scissors and were asked in a blinded fashion during surgery which scissor they preferred. RESULTS: The metallic clipping noise was noticed less by the modified group (p = 0.3747). The metallic clipping noise was less bothersome to patients in the modified group (p = 0.2258). In Group 3, of the 38 patients that selected a preference 60% chose the modified and 40% chose the traditional (p=0.2559). CONCLUSION While there was no significant difference between the two groups in terms of noticing the clipping noise and being bothered by the clipping noise, there may be some clinical significance to draw from this study. Patient preference tended toward the modified scissors and these quiet instruments may improve patient experience, especially for those who are extra sensitive to sensory stimuli or for those who have never undergone dermatologic surgery before.
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This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivs 3.0 License.