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Blunt Dissection

Aka: Blunt Dissection

Indication
1. Plantar Wart
Advantages over other surgical techniques (e.g. ED&C)
1. Does not disturb normal tissue
Efficacy
1. Cure rate in Plantar Warts approaches 90%
Equipment
1. Blunt Dissector or
2. Schamberg acne expressor
Technique
1. Administer Local Lidocaine anesthesia
2. Outline edge of lesion
  1. Insert blunt tipped scissors between wart and skin
  2. Move tip circumferentially around wart
  3. Creates plane of dissection (separate wart from skin)
3. Insert blunt dissector into cleavage plane
4. Use short strokes to separate wart from skin
  1. Wart scooped out in one piece
After Care
1. Apply new bandage daily for first 3-4 days
2. Leave lesion uncovered after first 3-4 days
References
1. Habif (1996) Dermatology, p. 818
2. Pringle (1973) Arch Dermatol 108:79-82

Family Practice Notebook

Patients should address specific medical concerns with their physicians.

Although access to this page is not restricted, the information found here is intended for use by medical providers.

This page was written by Scott Moses, MD, last revised on 10/21/2007 and last published on 5/9/2012.

This is one of 5737 pages in the Family Practice Notebook