Materials for a Punch Biopsy
- Alcohol Wipes (4 of them)
- Povidone/iodine or chlorhexidine [Peridex] to clean or prep the skin.
- Drape (fenestrated drape) or clean towels.
- Lidocaine (or Xylocaine) 1 or 2%, with or without 1:100,000 epinephrine for local anesthesia.
- Syringe: 3-mL syringe
- Needle: 21-gauge needle for drawing up anesthetic
- Needle: 25- to 30-gauge needle or smallest possible size for injecting
- Skin punches (2, 3, 4, 6, and 8 mm) / Disposable punch instrument ranging from 2-8 mm in size
- Forceps: Toothed forceps to minimize crush artifacts.
- Scissors
- Needle driver for suturing
- Gauze, 2 X 2-inch or 4 X 4-inch
- Suture: Nonabsorbable sutures or adhesive (polypropylene (Prolene), silk, or nylon) of the desired size.
- Suture: Absorbable suture (Vicryl) if subcutaneous suture needed.
- Gloves: Nonsterile gloves
- Gloves: Sterile gloves, size 7 or other.
- Bandage: Small adhesive bandages (circular or square) or nonstick bandage and tape
- Pathology specimen container (s) filled with 10% formalin solution or normal saline.
- Laboratory requisition form or enter Histopathology order through the EHR.
- White petrolatum on a swab or antibiotic ointment.
- Hemostatic agents – Chemical Cauterization: Aluminum chloride 20-50% solution (Drysol), OR ferric subsulfate (Monsel solution ) OR silver nitrate sticks (75% silver nitrate/25% potassium nitrate)
- Cotton swabs for applying Drysol or chemical cautery.
Click here to view image of punch biopsy tray.
Resources:
http://www.aafp.org/afp/2011/1101/p995.html