Office Procedures

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 ...

Mar 1, 2000 Issue
Using Tissue Adhesive for Wound Repair: A Practical Guide to Dermabond. [Article]

Dermabond is a cyanoacrylate tissue adhesive that forms a strong bond across apposed wound edges, allowing normal healing to occur below. It is marketed to replace sutures that are 5-0 or smaller in diameter for incisional or laceration repair. This adhesive has been shown to save time during wound ...

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