Chapter 7 Wart Treatment
Common indications
Patients frequently request the removal of warts to decrease discomfort and for cosmetic concerns (Figure 7-1).
Key steps
Electrocautery and Curettage
1. Anesthesia: All lesions must be cleaned and locally anesthetized. Gently infiltrate 1 to 2 cc of 1% lidocaine under the lesion (Figure 7-2).
2. Debulk the lesion: If necessary, excise the bulk of large warts with a scalpel blade before electrocautery (Figure 7-3). Plantar warts can then be moistened with sterile water to improve the keratin response to electrodessication.
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