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The skin hook is a simple and practical instrument for use in dermatologic surgery. This instrument has been utilized by plastic surgeons for a long time. By means of the skin hook, undesirable trauma to the skin during surgical procedures may be reduced to a minimum. With the reduction in trauma and more gentle handling of skin, there will be a decreased incidence of wound infections and inflammations. This in turn contributes to better wound healing and more desirable cosmetic results.
One of the more common dermatologic uses for the skin hook is during the taking of a punch biopsy (Figure, 1). The specimen may be elevated above the surface so that the scissors may sever the base at the desirable level. This technique avoids forceps "crushing" and provides the dermatopathologist with a nontraumatized specimen. This method was first suggested to us by J. Heinlein.
During undermining, the skin
POPKIN GL, BRODIE SJ. The Versatile Skin Hook. Arch Dermatol. 1962;86(3):343–344. doi:10.1001/archderm.1962.01590090085019
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