The status of electrosurgery in dermatologic practice

Area of Science:

• Dermatology
• Surgical Technology
• Medical Device Utilization

Background:

• Electrosurgery is a widely used modality in dermatological procedures.
• Understanding current practices and preferences is crucial for device development and training.
• Traditional electrosurgical units remain prevalent in clinical settings.

Purpose of the Study:

• To survey the electrosurgical practices among members of the American Society of Dermatologic Surgery.
• To identify preferred electrosurgical modalities, devices, and techniques.
• To assess awareness and adoption of infection control measures in electrosurgery.

Main Methods:

• A survey was distributed to members of the American Society of Dermatologic Surgery.
• Data collected focused on device preference, current usage, and sterile techniques.
• Analysis of responses to determine trends in electrosurgical practice.

Main Results:

• The majority of dermatologists prefer traditional electrosurgical units, with the Hyfrecator being the most popular.
• Electrocoagulation and electrodesiccation are the most common high-frequency electrosurgery methods; cutting current is rarely used.
• Most practitioners do not adhere to strict sterile techniques, though there's increasing use of disposable/sterilizable electrodes.

Conclusions:

• High-frequency electrosurgery, particularly electrocoagulation and electrodesiccation, dominates dermatological practice.
• Despite a growing awareness of contamination risks, adherence to strict sterile techniques requires improvement.
• The Hyfrecator remains a highly favored device for electrosurgical procedures in dermatology.