Maintaining Tissue Orientation During Mohs Micrographic Surgery: Scalpel Versus Marker

Bagheri, Sepideh; King, Thomas H.; Justiniano, Hildamari; Eisen, Daniel B.

doi:10.1111/j.1524-4725.2011.02138.x

Cited by 6 publications

(2 citation statements)

References 2 publications

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“…CV has used as a colorant and disinfectant. 14 , 15 ) As a medical material, it is used in the surgical field as a pen to mark the skin. 5 , 14 ) Furthermore, various other uses have been reported in which it may remain in the body.…”

Section: Discussionmentioning

confidence: 99%

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Evaluation of Ethyl Violet as an Alternative Dye to Crystal Violet to Visualize the Vessel Wall during Vascular Anastomosis

Murai

Matano

Isayama

et al. 2022

Neurol. Med. Chir.(Tokyo)

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Crystal violet (CV) ink has been used as a skin marker worldwide. It has been reported to be useful for vessel wall visualization of microvascular anastomoses. Contrastingly, it has been found to be carcinogenic and inhibit migration and proliferation of venous cells. In some countries, its use in the medical field has been restricted. Therefore, it is necessary to consider alternatives to CV. In this present study, we compared the time required for the anastomosis of a 0.8-1 mm diameter vessel in the chicken wrist artery using CV and a CV-free dye (ethyl violet; EV). The surgeon, microscope, and anastomosis microsurgical tools were standardized for comparison. CV and EV were changed for each anastomosis. The same surgeon performed 30 anastomoses using each dye. No visually obvious differences were noted in the vascular transections with CV and EV. As per the results, no statistically significant difference was observed in the time required for anastomosis using CV and EV. EV conforming to California Proposition 65 may be an effective alternative to CV for vascular visualization of microvascular anastomoses. However, further studies on the effectiveness of the EV in clinical cases are needed.

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Section: Discussionmentioning

confidence: 99%

“… 14 , 15 ) As a medical material, it is used in the surgical field as a pen to mark the skin. 5 , 14 ) Furthermore, various other uses have been reported in which it may remain in the body. 1 , 16 - 18 ) It is often used to clarify anastomotic vessel walls in microvascular anastomosis.…”

Section: Discussionmentioning

confidence: 99%