We agree with the comments by Dr Gardner. We believe that electrocautery is a neglected modality in dermatologic surgery. One of the other potential advantages of electrocautery relates to its use in a bloody field. Whereas electrodesiccation and electrofulguration (the most commonly used forms of tissue destruction in dermatologic surgery) cause significant blood splattering in such settings, electrocautery does not.1 In this era of increasing concern over patient-related contagion, there is thus another reason to reevaluate the role of electrocautery in dermatologic surgery.
Bennett RG, Kraffert CA. Advantages of Electrocautery-Reply. Arch Dermatol. 1991;127(1):123. doi:10.1001/archderm.1991.01680010135026