The Sharpness of Blades Used in Dermatologic Surgery

Awadalla, Farah; Hexsel, Camile L.; Goldberg, Leonard Harry

doi:10.1097/dss.0000000000000584

Cited by 11 publications

(4 citation statements)

References 6 publications

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“…Advantages of the DermaBlade include the blade's sharpness, which is greater than that of a scalpel and its flexibility, allowing for fine control over the specimen's width and depth. 23,24 However, the DermaBlade may produce more beveled edges than a scalpel, theoretically increasing the risk of positive lateral margins. After initial deep shave removal in this study, 15 of 72 BCCs (21%) had positive margins.…”

Section: Discussionmentioning

confidence: 99%

Deep Shave Removal of Suspected Basal Cell Carcinoma: A Prospective Study

et al. 2022

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BACKGROUND Diagnosis and treatment of basal cell carcinoma (BCC) in the same visit by shave removal may decrease health care spending and promote patient satisfaction. OBJECTIVE To prospectively evaluate deep shave removal of lesions clinically suspicious for low-risk BCC on the trunk or extremities in immunocompetent patients. MATERIALS AND METHODS Deep shave removal with the intent to remove the entire tumor was performed from January 2015 to June 2016, and patients were followed prospectively for clinical evidence of tumor recurrence. RESULTS Seventy-seven lesions were removed from 51 patients, including 29 (37%) superficial and nodular BCCs, 27 (35%) superficial BCCs, 16 (21%) nodular BCCs, and 5 (6%) non-BCCs. Fifteen BCCs (21%) had positive residual margins after deep shave removal, which was significantly more likely to occur in nodular compared with superficial BCCs (odds ratio 5 7.8, 95% confidence interval 5 1.4-43), and underwent re-excision. Fourteen specimens initially reported to have negative margins after deep shave underwent resectioning, which revealed positive margins in 4 specimens (28.6%). No BCCs have recurred clinically after an average follow-up of 50 months (SE 3.2). CONCLUSION Consider deep shave removal for low-risk BCCs on the trunk or extremities in immunocompetent patients hoping to avoid a second treatment visit.

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Section: Discussionmentioning

confidence: 99%

Deep Shave Removal of Suspected Basal Cell Carcinoma: A Prospective Study

et al. 2022

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“…A razor blade is often used for shave excision surgery because of it's sharpness, low cost, and ease of availability. 1 However, holding the blade is difficult due to its elasticity and poor finger grip, and there is a risk of finger damage. Several adaptations and devices for better blade handling have been reported.…”

Section: Problemmentioning

confidence: 99%

An innovative syringe barrel holder of halved razor blade for shave surgery as dermablade

Mukhtar¹

2023

IJDVL

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“…FUE skinny grafts are more susceptible to dehydration and prone to severe forceps trauma during implantation, relative to than FUT grafts 20 . Furthermore, FUE extraction can take hours, adding up a long implantation process, which can cause a decrease in survival rates 21 …”

Section: Implantation Techniquesmentioning

confidence: 99%

“…The sharpness degree as well as the blade geometry can affect the speed and ability to work in acute angles. Several devices can be used to produce premade incisions 20,22 …”

Section: Implantation Techniquesmentioning

confidence: 99%

Androgenetic alopecia: Hair transplantation surgery update

Sanabria

Fachini²,

Ramos

2021

Dermatological Reviews

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Androgenetic alopecia is the main cause of hair loss in men and women and it can have a negative impact on quality of life due to decreased self‐esteem. The possibility of restoration of large areas with natural results is making hair transplantation surgery increasingly popular. Since the first surgeries dissecting the follicular units under the microscope, there has been much advancement in hair transplantation surgery in recent decades. In this review, we discuss the main techniques for harvesting follicular units from the donor area and for implantation. When properly indicated, using appropriate techniques and performed by a trained surgeon, hair transplant surgery can lead to excellent results with highly satisfied patients.

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The Sharpness of Blades Used in Dermatologic Surgery

Abstract: The sharpness of a blade is an important factor in its ability to perform a task and should be taken into account when choosing a particular blade for a particular procedure.

Cited by 11 publications

References 6 publications

Deep Shave Removal of Suspected Basal Cell Carcinoma: A Prospective Study

Deep Shave Removal of Suspected Basal Cell Carcinoma: A Prospective Study

An innovative syringe barrel holder of halved razor blade for shave surgery as dermablade

Androgenetic alopecia: Hair transplantation surgery update

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