Achieving Hemostasis After Nail Biopsy Using Absorbable Gelatin Sponge Saturated in Aluminum Chloride

Hwa, Charlotte; Kovich, Olympia I; Stein, Jennifer A.

doi:10.1111/j.1524-4725.2011.01889.x

Cited by 12 publications

(5 citation statements)

References 3 publications

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“…As nail is a highly vascular structure, bleeding from biopsy site is difficult to manage. Hwa et al [43] reported easy control of post-biopsy bleeding using gelatin sponge saturated with aluminium chloride.…”

Section: Other Advances In Nail Disorder Diagnosismentioning

confidence: 99%

What′s new in nail disorders?

Dogra¹,

Yadav²

2011

Indian J Dermatol Venereol Leprol

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Section: Other Advances In Nail Disorder Diagnosismentioning

confidence: 99%

What′s new in nail disorders?

Dogra¹,

Yadav²

2011

Indian J Dermatol Venereol Leprol

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“…One study showed that wounds treated with gelatin sponges and left to heal by secondary intention led to increased granulation tissue formation and an overall better appearance of the wound [55]. Absorbable gelatin sponges soaked in aluminum chloride have also been shown to provide quick hemostasis after nail punch biopsies when left in the wound for two weeks [56]. Another physical agent, polyethylene glycol hydrogel, is a synthetic, biodegradable hemostat that polymerizes quickly, providing hemostasis in less than 60 seconds.…”

Section: Noncaustic Hemostatic Agentsmentioning

confidence: 99%

Newer Hemostatic Agents Used in the Practice of Dermatologic Surgery

Henley

Brewer

2013

Dermatology Research and Practice

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Minor postoperative bleeding is the most common complication of cutaneous surgery. Because of the commonality of this complication, hemostasis is an important concept to address when considering dermatologic procedures. Patients that have a bleeding diathesis, an inherited/acquired coagulopathy, or who are on anticoagulant/antiplatelet medications pose a greater risk for bleeding complications during the postoperative period. Knowledge of these conditions preoperatively is of the utmost importance, allowing for proper preparation and prevention. Also, it is important to be aware of the various hemostatic modalities available, including electrocoagulation, which is among the most effective and widely used techniques. Prompt recognition of hematoma formation and knowledge of postoperative wound care can prevent further complications such as wound dehiscence, infection, or skin-graft necrosis, minimizing poor outcomes.

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“…A recent report demonstrated, the effectiveness of combining an absorbable gelatin sponge saturated in aluminum chloride in stopping bleeding after nail biopsy. [6] The combination was found to be more effective than either agent alone. [6] Another recent study investigated, the use of Gelfoam ® (Pfizer, Memphis, TN) in Mohs micrographic surgery (MMS) and staged melanoma excisions.…”

Section: Non-caustic Agentsmentioning

confidence: 99%

“…[6] The combination was found to be more effective than either agent alone. [6] Another recent study investigated, the use of Gelfoam ® (Pfizer, Memphis, TN) in Mohs micrographic surgery (MMS) and staged melanoma excisions. Results demonstrated that Gelfoam ® promoted healing by secondary intention and was associated with improved hemostasis and cosmesis.…”

Section: Non-caustic Agentsmentioning

confidence: 99%

Achieving hemostasis in dermatology-Part II: Topical hemostatic agents

Glick

Kaur

Siegel

2013

Indian Dermatol Online J

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Bleeding is a common occurrence during any dermatologic surgery that disrupts blood vessels. The complications of excess bleeding can include delayed wound healing, hematoma formation, infection, dehiscence, and necrosis. In part one of this review, we discussed the pre-operative, intra-operative, and post-operative management of patients undergoing dermatologic surgery. In Part two, we discuss traditional and new topical hemostatic agents used to achieve hemostasis in dermatological procedures and surgery. We will evaluate the caustic and non-caustic hemostatic agents as well as hemostatic dressings. The mechanisms of action, side effect profile, and advantages and disadvantages of the topical hemostatic agents are provided. Sources for this article were found searching the English literature in PubMed for the time period 1940 to March 2012. A thorough bibliography search was also performed and key references examined.

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Achieving Hemostasis After Nail Biopsy Using Absorbable Gelatin Sponge Saturated in Aluminum Chloride

Abstract: The authors have indicated no significant interest with commercial supporters.

Cited by 12 publications

References 3 publications

What′s new in nail disorders?

What′s new in nail disorders?

Newer Hemostatic Agents Used in the Practice of Dermatologic Surgery

Achieving hemostasis in dermatology-Part II: Topical hemostatic agents

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