Abstract

Wrong-site skin surgery continues to exist as a complication despite various techniques that have been developed by clinicians around the world.1 Many factors contribute to the difficulty in biopsy site identification. These include a delay between the biopsy and the surgical excision, inadequate photography or written documentation, and an inability for the patient to see his or her own biopsy site. The back is an area of the body that has poor landmarks and is not visible to the patient. A well-healed scar among multiple skin lesions, moles, and other scars increases the risk of wrong-site surgery in this area.

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