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To the Editor.—
Monsel's solution is commonly used to control bleeding after minor surgical procedures such as curettage and biopsy. However, it is not unusual to observe continued pinpoint bleeding that requires repeated applications. We report an improved technique for applying Monsel's solution that consistently achieves immediate hemostasis. Our method involves applying the solution when the wound is not bleeding. In most situations, that can be achieved by placing the thumbs and index fingers at the opposite edges of the wound and stretching the skin. The wound is then wiped with gauze, the Monsel's solution applied, and the tension maintained for about 15 s.We have found that this maneuver rarely fails to control bleeding quickly. The lack of blood flow apparently allows more complete coagulation and sealing of the cut vessels.
Baden HP. Rapid Hemostasis With Monsel's Solution. Arch Dermatol. 1984;120(6):708. doi:10.1001/archderm.1984.01650420018006