Columbia, Missouri 65212

  • Postoperative Wound Haemorrhage


Bleeding after Mohs micrographic surgery for skin cancer is a low risk complication that can occur. This study aims to determine the effect of a drug, often used to reduce bleeding, called tranexamic acid when applied topically to the skin wound after surgery.

Study summary:

To perform a prospective randomized controlled trial to determine the hemostatic effect of TXA soaked gauze (intervention) versus normal saline soaked gauze (control) when applied to granulating defects in the setting of Mohs micrographic surgery. Patients meeting inclusion criteria will be randomized into two arms once enrolled in the study on the day of their Mohs micrographic surgery (MMS). One arm will serve as the control group and will receive normal saline soaked telfa pads to the wound bed upon completion of MMS. A second arm will receive TXA 25mg/ml at a volume of 1ml/cm2 soaked telfa pads to wound bed upon completion of MMS. In both arms, the telfa pads will have a standard pressure dressing placed overtop.


Inclusion Criteria: - All adult (18 years or older) patients presenting for Mohs micrographic surgery (MMS) for the treatment of melanoma or nonmelanoma skin cancer (NMSC) with a wound that will be healing by granulation Exclusion Criteria: - Patients must not be pregnant or breastfeeding. - Patients must not have a known allergic reaction or sensitivity to TXA - Patient must not have an international normalized ratio (INR) out of therapeutic range if on warfarin.



Primary Contact:

Principal Investigator
Nicholas Golda, MD
University of Missouri-Columbia

Brianna Castillo, MD
Phone: 5738824800

Backup Contact:


Location Contact:

Columbia, Missouri 65212
United States

Dyann Helming, APRN
Phone: 573-882-8030

Site Status: Recruiting

Data Source:

Date Processed: August 03, 2021

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