Materials for an Excision Biopsy
- Alcohol Wipes ( 4 of them)
- Povidone/iodine or chlorhexidine to clean or prep the skin.
- Drape: Sterile fenestrated drape or clean towels.
- Lidocaine (or Xylocaine) 1 or 2%, with or without 1:100,000 epinephrine for local anesthesia.
- Syringe: 3-mL syringe
- Needle: 21-gauge needle for drawing up anesthetic
- Needle: 25- to 30-gauge needle or smallest possible size for injecting
- Scalpel: Scalpel handle and scalpel blades – Size 15 or 10
- Forceps: Toothed forceps to minimize crush artifacts.
- Pen: Surgical marking pen.
- Scissors
- Needle driver for suturing
- Gauze, 2 X 2-inch or 4 X 4-inch
- Suture: Nonabsorbable suture (polypropylene [Prolene], silk, or nylon) of the desired size OR adhesive.
- Suture: Absorbable suture (Vicryl) if subcutaneous suture needed.
- Steri Strips – Use especially on face wounds. It reduces scarring.
- Gloves: Nonsterile gloves, size medium.
- Gloves: Sterile gloves, size 7 or other.
- Bandage: Small adhesive bandages (circular or square) or nonstick bandage and tape
- Pathology specimen container (s) filled with 10% formalin solution or normal saline.
- Laboratory requisition form or enter Histopathology order through the EHR.
- White petrolatum on a swab or antibiotic ointment.
- Hemostatic agents – Chemical Cauterization: Aluminum chloride 20-50% solution (Drysol), OR ferric subsulfate (Monsel solution ) OR silver nitrate sticks (75% silver nitrate/25% potassium nitrate)
- Cotton swabs for applying Drysol or chemical cautery.
Resources:
http://www.aafp.org/afp/2011/1101/p995.html
http://www.proceduresconsult.com/medical-procedures/excisional-biopsy-GS-072-procedure.aspx