Surgical Pearl: Obtaining a clean histopathologic specimen using a ring curette

Madan, Vishal; Dawn, G.

doi:10.1016/j.jaad.2006.08.050

Cited by 5 publications

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References 3 publications

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“…Editor Curettage is a simple and common dermatological surgical technique used to remove benign and malignant skin lesions 1 . In the United Kingdom disposable ring curettes are the most commonly used instruments to perform curettage compared with the traditional ‐metallic spoon‐shaped instruments 2 …”

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Optimizing curettage with a ‘backhand’

Kapadia

Hussain²

2012

Acad Dermatol Venereol

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EditorCurettage is a simple and common dermatological surgical technique used to remove benign and malignant skin lesions. 1 In the United Kingdom disposable ring curettes are the most commonly used instruments to perform curettage compared with the traditional -metallic spoon-shaped instruments. 2 When performing curettage the operator may apply the 'fountain-pen technique' or 'potato peeler technique'. 3 Typically a lesion is curetted by using the sharp edge of a ring curette by moving the hand in a downward and inward motion (towards the operator) (Fig. 1). This vector of movement, however, has a tendency to create a deep wound, especially in the atrophic, fragile skin of the elderly.A subtle variation (combined with a knowledge of racket sports!) in the above technique, however, can minimize the tendency to produce a deep wound. By simply initiating the curettage as a 'backhand' (i.e. moving up and away from the operator, Fig. 2) as opposed to the aforementioned 'forehand' technique, the risk of producing a deep wound is minimized and in our experience results in superior healing and ultimately a better cosmetic outcome. Figure 2 Proposed 'backhand' method of curettage in a direction away from the operator with the wrist ultimately moving in an upward direction.Figure 1 The common 'forehand' method of curettage, with the down and inward movement of the curette blade.

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confidence: 99%

Optimizing curettage with a ‘backhand’

Kapadia

Hussain²

2012

Acad Dermatol Venereol

View full text Add to dashboard Cite

show abstract

“…1 In the United Kingdom disposable ring curettes are the most commonly used instruments to perform curettage compared with the traditional -metallic spoon-shaped instruments. 2 When performing curettage the operator may apply the 'fountain-pen technique' or 'potato peeler technique'. 3 Typically a lesion is curetted by using the sharp edge of a ring curette by moving the hand in a downward and inward motion (towards the operator) ( Fig.…”

mentioning

confidence: 99%