Cryosurgery Techniques for Common Warts

Cryosurgery of verruca vulgaris: What is the technic to freeze efficiently? to freeze efficiently? to freeze efficiently? to freeze efficiently? to freeze efficiently? ,[object Object],[object Object],[object Object],[object Object]

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Physical exam Article ID: ebm00276 (013.030) © Duodecim Medical Publications Ltd

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Papers kept ,[object Object],[object Object],[object Object],Br J Dermatol. 2001 May;144(5):1006-9. Liquid nitrogen cryotherapy of common warts: cryo-spray vs. cotton wool bud. Ahmed I , Agarwal S , Ilchy shyn A , Cha rles-Holmes S , Berth-Jon es J . Source Dep artment of Dermato logy, Univers ity Hospitals, Coventry and Warwickshire NHS Trust, Clifford Bridge Road, Coventry CV2 2DX, U.K. Cryosurgery of Skin Lesions Essential Evidence Last Updated on 2009-05-25 © 2009 John Wiley & Sons, Inc. Cryosurgery for common skin lesions Treatment in family physicians' offices Stephen J. Wetmore, MD, Msc, ccFP Canadian Family Physician . Le Medecin de famille canadien * VOL45: APRIL * AVRIL 1999 Canadian Family Physician . Le Medecin de famille canadien * VOL45: APRIL * AVRIL 1999

Br J Dermatol. 2001 May;144(5):1006-9. Liquid nitrogen cryotherapy of common warts: cryo-spray vs. cotton wool bud. Ahmed I , Agarwal S , Ilchyshyn A , Charles-Holmes S , Berth-Jones J . Source Department of Dermatology, University Hospitals, Coventry and Warwickshire NHS Trust, Clifford Bridge Road, Coventry CV2 2DX, U.K. Department of Dermatology, University Hospitals, Coventry and Warwickshire NHS Trust, Clifford Bridge Road, Coventry CV2 2DX, U.K. Department of Dermatology, University Hospitals, Coventry and Warwickshire NHS Trust, Clifford Bridge Road, Coventry CV2 2DX, U.K. Department of Dermatology, University Hospitals, Coventry and Warwickshire NHS Trust, Clifford Bridge Road, Coventry CV2 2DX, U.K. Department of Dermatology, University Hospitals, Coventry and Warwickshire NHS Trust, Clifford Bridge Road, Coventry CV2 2DX, U.K. ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Br J Dermatol. 2001 May;144(5):1006-9. Liquid nitrogen cryotherapy of common warts: cryo-spray vs. cotton wool bud. Ahmed I , Agarwal S , Ilchyshyn A , Charles-Holmes S , Berth-Jones J . Source Department of Dermatology, University Hospitals, Coventry and Warwickshire NHS Trust, Clifford Bridge Road, Coventry CV2 2DX, U.K. Department of Dermatology, University Hospitals, Coventry and Warwickshire NHS Trust, Clifford Bridge Road, Coventry CV2 2DX, U.K. Department of Dermatology, University Hospitals, Coventry and Warwickshire NHS Trust, Clifford Bridge Road, Coventry CV2 2DX, U.K. Department of Dermatology, University Hospitals, Coventry and Warwickshire NHS Trust, Clifford Bridge Road, Coventry CV2 2DX, U.K. Department of Dermatology, University Hospitals, Coventry and Warwickshire NHS Trust, Clifford Bridge Road, Coventry CV2 2DX, U.K. ,[object Object],[object Object],[object Object]

Br J Dermatol. 2001 May;144(5):1006-9. Liquid nitrogen cryotherapy of common warts: cryo-spray vs. cotton wool bud. Ahmed I , Agarwal S , Ilchyshyn A , Charles-Holmes S , Berth-Jones J . Source Department of Dermatology, University Hospitals, Coventry and Warwickshire NHS Trust, Clifford Bridge Road, Coventry CV2 2DX, U.K. Department of Dermatology, University Hospitals, Coventry and Warwickshire NHS Trust, Clifford Bridge Road, Coventry CV2 2DX, U.K. Department of Dermatology, University Hospitals, Coventry and Warwickshire NHS Trust, Clifford Bridge Road, Coventry CV2 2DX, U.K. Department of Dermatology, University Hospitals, Coventry and Warwickshire NHS Trust, Clifford Bridge Road, Coventry CV2 2DX, U.K. Department of Dermatology, University Hospitals, Coventry and Warwickshire NHS Trust, Clifford Bridge Road, Coventry CV2 2DX, U.K. ,[object Object],[object Object],[object Object],Cured Not cured Defaulted CWB group (n à 205) 55 (47%) 63 87 Cryo-spray group (n à 158) 39 (44%) 50 69

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The timed-spot freeze technic ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

The rotatory or spiral pattern & Paintbrush method ,[object Object],[object Object],[object Object],[object Object],[object Object]

American Family Physicians May 15, 2004 Table of Contents Cryosurgery for Common Skin Conditions Mark D. Andrews, M.D., Wake Forest University School of Medicine, Winston-Salem, North Carolina Am Fam Physician. 2004 May 15;69(10):2365-2372. 2004 May 15;69(10):2365-2372. 2004 May 15;69(10):2365-2372. 2004 May 15;69(10):2365-2372. 2004 May 15;69(10):2365-2372. Recommended cryosurgical techniques type technique freeze time (seconds) number of freeze-thaw cycle margins (mm) number of tx sessions intervals (weeks) common wart open spray 10 1 2 3 4

Cryosurgery of Skin Lesions Essential Evidence Last Updated on 2009-05-25 © 2009 John Wiley & Sons, Inc. Last Updated on 2009-05-25 © 2009 John Wiley & Sons, Inc. Last Updated on 2009-05-25 © 2009 John Wiley & Sons, Inc. ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],typical freeze margins for cryotherapy type of lesion margins in mm warts 2 mm - 3 mm, based on size/thickness

Cryosurgery for common skin lesions Treatment in family physicians' offices Stephen J. Wetmore, MD, Msc, ccFP Canadian Family Physician . Le Medecin de famille canadien * VOL45: APRIL * AVRIL 1999 Canadian Family Physician . Le Medecin de famille canadien * VOL45: APRIL * AVRIL 1999 Canadian Family Physician . Le Medecin de famille canadien * VOL45: APRIL * AVRIL 1999 Canadian Family Physician . Le Medecin de famille canadien * VOL45: APRIL * AVRIL 1999 Canadian Family Physician . Le Medecin de famille canadien * VOL45: APRIL * AVRIL 1999 freeze time for various benign skin lesions Lesions freeze time (seconds) liquid nitrogen nitrous oxide (seconds) comments warts: Non plantar 10-20 up to 60 Plantar 30-60 40 after paring pare plantar warts first; use double freeze-thaw cycle Periungal up to 45

Cryosurgery for common skin lesions Treatment in family physicians' offices Stephen J. Wetmore, MD, Msc, ccFP Canadian Family Physician . Le Medecin de famille canadien * VOL45: APRIL * AVRIL 1999 Canadian Family Physician . Le Medecin de famille canadien * VOL45: APRIL * AVRIL 1999 Canadian Family Physician . Le Medecin de famille canadien * VOL45: APRIL * AVRIL 1999 Canadian Family Physician . Le Medecin de famille canadien * VOL45: APRIL * AVRIL 1999 Canadian Family Physician . Le Medecin de famille canadien * VOL45: APRIL * AVRIL 1999 ,[object Object],[object Object]

[object Object],[object Object],[object Object],Cryosurgery in dermatology European Journal of Dermatology. Volume 8, Number 7, 466-74, October - November 1998, Formation Médicale Continue

My practice decision ,[object Object],[object Object],[object Object]

My practice decision American Family Physicians May 15, 2004 Table of Contents Cryosurgery for Common Skin Conditions Mark D. Andrews, M.D., Wake Forest University School of Medicine, Winston-Salem, North Carolina Am Fam Physician. 2004 May 15;69(10):2365-2372. ...and I would do 2 cycles of freeze-thaw for plantar warts. Recommended cryosurgical techniques type technique freeze time (seconds) number of freeze-thaw cycle margins (mm) number of tx sessions intervals (weeks) common wart open spray 10 1 2 3 4

Cryosurgery Techniques for Common Warts

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