Consent: Excisional Biopsy (Complete Removal)
Consent: Incisional Biopsy (Partial Removal)
Equipment List
- Nitrile Exam Gloves (1 pair)
- Sterile Gloves (1 pair)
- 15 Blade Disposable Scalpel (1)
- Iris Scissors, Straight (1 pair)
- Needle Driver (1 pair)
- Toothed Pickup (1)
- Suture: Assorted (if specific suture not requested by provider)
- 3-0 Vicryl (1) – absorbable for deep or layered repair
- 4-0 Ethilon (1) – for skin closure
- Sterile Medium Drape (1)
- ChloraPrep 3 mL stick (1)
- Alcohol Swabs (4)
- Sterile 4×4 gauze (5)
- 1% or 2% lidocaine: If fingers, toes, penis, or nose – then without epinephrine. Otherwise it is ok to have epinephrine. (1 vial with minimum 20 mL remaining)
- 10 ml syringe (1)
- 18 gauge 1.5 inch needle (1)
- 27 gauge 1.25 inch needle (1)
- Exam-room sheet (1 sheet, when necessary due to location of area to be excised)
- Chux Pads (1)
- Formalin cups (as many cups as biopsy specimens)
- Paper Medical Tape (1 roll)
- Sterile 2×2 gauze (5)
Procedure Note
EXCISIONAL/INCISIONAL BIOPSY
The procedure was explained in detail and informed consent was obtained from the patient. The area was prepped and draped in a sterile fashion, and infiltrated with _ ml of _% lidocaine with_ epinephrine for local anesthesia. An elliptical cision was performed to remove the lesion, and the specimen was placed in specimen jar and sent for analysis. Closure was performed with _ suture material. Petroleum ointment and a bandage applied. EBL less than 1 ml. Good hemostasis. There were no complications. Patient instructed to follow up for fever, erythema, swelling, pain, or purulent discharge from the wound. The patient voiced understanding. Suture removal in _ days.
Suture Removal Time Period
Face: 5-7 days
Neck: 7 days
Scalp: 10 days
Trunk & Upper Extremities: 10-14 days
Lower Extremities: 14-21 days
Sutures in wounds under greater tension may have to be left in place slightly longer.
