Office Procedures

Feb 1, 2004 Issue
Regional Anesthesia For Office Procedures: Part I. Head and Neck Surgeries [Article]

Although local anesthesia usually is used in surgical procedures, field or nerve blocks can provide more effective anesthesia in some situations. In a field block, local anesthetic is infiltrated around the border of the surgical field, leaving the operative area undisturbed. In field blocks, epinep...

Oct 1, 2003 Issue
Air, Air Everywhere [Photo Quiz]

Photo Quiz presents readers with a clinical challenge based on a photograph or other image.

Jun 1, 2003 Issue
The Basic Z-Plasty [Article]

Z-plasty is a plastic surgery technique that is used to improve the functional and cosmetic appearance of scars. With this technique, it is possible to redirect a scar into better alignment with a natural skin fold or the lines of least skin tension. Contracted scars may be lengthened with this tech...

Apr 1, 2003 Issue
Fusiform Excision [Article]

Feb 15, 2003 Issue
Diagnostic and Therapeutic Injection of the Wrist and Hand Region [Article]

Joint injection of the wrist and hand region is a useful diagnostic and therapeutic tool for the family physician. In this article, the injection procedures for carpal tunnel syndrome, de Quervain's tenosynovitis, osteoarthritis of the first carpometacarpal joint, wrist ganglion cysts, and digital f...

Dec 15, 2002 Issue
The Mattress Sutures: Vertical, Horizontal, and Corner Stitch [Article]

The interrupted vertical and horizontal mattress suture techniques are two of the most commonly used skin closure methods. These mattress sutures promote wound edge eversion and less prominent scarring. Vertical and horizontal mattress sutures allow for skin edges to be closed under tension when wou...

Oct 1, 2002 Issue
Electrosurgery for the Skin [Article]

The purposes of electrosurgery are to destroy benign and malignant lesions, control bleeding, and cut or excise tissue. The major modalities in electrosurgery are electrodesiccation, fulguration, electrocoagulation, and electrosection. Electrosurgery can be used for incisional techniques that produc...

Jul 1, 2002 Issue
Principles of Office Anesthesia Part II: Topical Anesthesia [Article]

The development of topical anesthetics has provided the family physician with multiple options in anesthetizing open and intact skin. The combination of tetracaine, adrenaline (epinephrine), and cocaine, better known as TAC, was the first topical agent available for analgesia of lacerations to the f...

Jul 1, 2002 Issue
Principles of Office Anesthesia: Part I. Infiltrative Anesthesia [Article]

The use of effective analgesia is vital for any office procedure in which pain may be inflicted. The ideal anesthetic achieves 100 percent analgesia in a short period of time, works on intact or nonintact skin without systemic side effects, and invokes neither pain nor toxicity. Because no single ag...

Mar 15, 2002 Issue
Punch Biopsy of the Skin [Article]

Skin biopsy is one of the most important diagnostic tests for skin disorders. Punch biopsy is considered the primary technique for obtaining diagnostic full-thickness skin specimens. It requires basic general surgical and suture-tying skills and is easy to learn. The technique involves the use of a ...

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