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January 1959

Control of Small Vessel Bleeding After Dermabrasive Surgery

Author Affiliations

Washington, D. C.

AMA Arch Derm. 1959;79(1):101-103. doi:10.1001/archderm.1959.01560130103014

Numerous refinements of techniques have been developed in abrasive surgery since it was first introduced, in 1952, by Kurtin. Most of these refinements, however, have benefited the operator rather than the patient. Ethyl chloride as the refrigerant has given way to Freon 114 (dichlorotetrafluoroethane) or to combinations of Freon 114 and ethyl chloride. New abrasives have been developed or adapted to this procedure, but in experienced hands all of these abrasives can be used interchangeably. Further improvement in techniques will be developed.

The most pressing advances should be directed toward patient comfort. The operation is not truly painful, but there are uncomfortable features, such as apprehension which sometimes borders on fear. Much of the apprehension has been allayed by the elimination of the blower when ethyl chloride was replaced by Freon and by the use of preoperative sedation and analgesics. The most uncomfortable

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