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- Presentation
Practical Surgical Tips
Description
In this presentation, Terry Cronin discusses practical surgical tips, emphasizing effective techniques and materials for dermatological procedures. He shares that he has no financial affiliations with any products mentioned, and highlights various methods for managing hemostasis during biopsies, particularly using TCA to quickly stop bleeding and fade pigmented lesions. He also advocates for the use of Quick Clot gauze for its efficiency in reducing blood loss during procedures like Mohs surgery. Additionally, Cronin discusses the importance of using smoke evacuators to minimize exposure to harmful fumes during electrocautery, as well as wood management and the correct buffering technique for lidocaine to enhance patient comfort. He recommends advanced suture materials like Monocryl and Monoderm to reduce costs and improve wound healing. Furthermore, he encourages dermatologists to promote themselves in their clinics, utilizing waiting room televisions for effective patient engagement. In summary, his key takeaways include innovative hemostasis techniques, resource management in lidocaine use, and self-promotion practices in dermatology.
View moreConclusions
- TCA (trichloroacetic acid) is effective for biopsy hemostasis and fading lentigines.
- Using TCA can create an artificial scab that helps in wound healing after a biopsy.
- QuickClot Gauze is useful for hemostasis in Mohs surgeries, minimizing blood loss.
- A smoke evacuator should be used during electrocautery to reduce exposure to harmful fumes, including HPV, and vaccination against HPV is recommended for dermatologic surgeons.
- Buffered lidocaine in a 3:1 ratio with sodium bicarbonate is less painful for patients than the traditional 9:1 ratio, enhancing patient comfort and conserving resources.
- The introduction of newer suture materials like Poliglecaprone 25 offers advantages such as less inflammation, knot security, and ease of handling, while also reducing material costs compared to traditional sutures.
- The Ellman Surgitron radiofrequency device is preferred for surgeries on patients with pacemakers due to its minimal risk.
- Practitioners should leverage in-office television or digital displays to promote their practice, showcasing their expertise and enhancing patient trust.
- Murad Alam et al. J Am Acad Dermatol. 2020 Jul.
- Alexandra Vent et al. J Am Acad Dermatol. 2020 Jul.
- -- Murad Alam MD & Brandon Worley MD