Dermatologic surgery : official publication for American Society for Dermatologic Surgery [et al.]
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Controlled Clinical Trial
Skin sterility after application of a vapocoolant spray.
Refrigerant sprays have been widely used to reduce pain in the office setting. However, more recently, their use has been limited by both concern regarding flammability and questions of bacterial contamination. ⋯ The topical antiseptic povidone-iodine significantly reduces skin colonization when compared with unprepared skin (p < .001). The vapocoolant 1,1,1,3,3 pentafluoropropane and 1,1,1,2-tetrafluoroethane is sprayed on skin prepared with povidone-iodine; there is no statistically significant increase in bacterial colonization.
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Concern over transection of melanomas has inhibited many practitioners from using the scoop-shave for removal of pigmented lesions. ⋯ The scoop-shave is a safe and effective technique for diagnosis and treatment of melanocytic lesions.