Surgical pearl: a simple means of disarming the "locked and loaded" needle.


BACKGROUND:Surgery, in any setting, has several inherent risks not only to the patient, but the physician and his assistants as well. Safe handling and management of the sharps to prevent inoculation injuries is one of these risks, in particular: 1) instrument hand-off of the needle and needle driver between the physician and his assistants; 2) retrieval of instruments from the surgical tray. OBJECTIVE:The authors' review a simple means of disarming the needle loaded in the needle driver to reduce sharps injury. METHODS:Before the needle and needle driver are either handed off to the assistant or returned to the surgical tray, pivot the needle 90 degrees toward the instrument joint. The needle's point should be directed toward and touching the needle driver, and thereby, disarming the needle. To avoid dulling the needle, the point should not be grasped by the needle driver. CONCLUSIONS:Disarming the loaded needle may reduce the chance of sharps injury during instrument hand off and retrieving instruments from the surgical tray.


Int J Dermatol


Kunishige J,Wanitphakdeedecha R,Nguyen TH,Chen TM




Has Abstract


2008-08-01 00:00:00














  • Candida folliculitis in heroin addicts.

    abstract::Three heroin addicts had Candida folliculitis of the scalp, beard, and pubis associated with fever, chills, headache, and fatigue. In each case, pseudohyphae were found within a hair and yeasts around it and Candida was recovered from urine. These facts support a systemic dissemination. Since serious ocular and osteoa...

    journal_title:International journal of dermatology

    pub_type: 杂志文章


    authors: Leclerc G,Weber M,Contet-Audonneau N,Beurey J

    更新日期:1986-03-01 00:00:00

  • Clinicoepidemiological features of mycosis fungoides in Kuwait, 1991-2006.

    abstract:BACKGROUND:Mycosis fungoides (MF) is an indolent, most common type of cutaneous T-cell lymphoma (CTCL) with an average estimated incidence of 0.5 cases per 100,000 persons per year in the western world. Although various clinical and epidemiological features are well delineated in the western population, the data is sca...

    journal_title:International journal of dermatology

    pub_type: 杂志文章


    authors: Alsaleh QA,Nanda A,Al-Ajmi H,Al-Sabah H,Elkashlan M,Al-Shemmari S,Demierre MF

    更新日期:2010-12-01 00:00:00

  • Chagas' disease reactivation with skin symptoms in a patient with kidney transplant.

    abstract::Immunodepressed patients in the intermediate phase of Chagas' disease may undergo reactivation of the disease together with atypical symptoms. The case of an immunodepressed kidney transplant patient with reactivation of Chagas' disease with skin symptoms is reported. A 65-year-old man presented with infiltrated eryth...

    journal_title:International journal of dermatology

    pub_type: 杂志文章


    authors: Gallerano V,Consigli J,Pereyra S,Gómez Zanni S,Danielo C,Gallerano RH,Guidi A

    更新日期:2007-06-01 00:00:00

  • Paracetamol induced Stevens-Johnson syndrome--toxic epidermal necrolysis overlap syndrome.

    abstract:BACKGROUND:Though any drug can be a potential cause of such hypersensitivity reactions, paracetamol, an over-the-counter drug used extensively as an analgesic and antipyretic agent, is considered to be relatively safe, with hepatotoxicity as a major adverse effect only in large doses. MATERIALS AND METHODS:We report a...

    journal_title:International journal of dermatology

    pub_type: 杂志文章


    authors: Biswal S,Sahoo SS

    更新日期:2014-08-01 00:00:00

  • Does needle biopsy cause an increased risk of extracapsular extension in the diagnosis of metastatic lymph node in melanoma?

    abstract:BACKGROUND:Needle biopsy is a rapid, reliable, and reproducible procedure for histological confirmation of metastatic melanoma localization. Nonetheless, this procedure presents a theoretical risk of a mechanical weakening of the lymph node capsule with perinodal tumor seeding. The objective of the study was to evaluat...

    journal_title:International journal of dermatology

    pub_type: 杂志文章


    authors: Claro G,Meyer N,Meresse T,Gangloff D,Grolleau JL,Chaput B

    更新日期:2018-04-01 00:00:00

  • Immunohistochemistry in histoid leprosy.

    abstract:BACKGROUND:Histoid leprosy is a rare form of multibacillary leprosy as the result of secondary or even primary resistance to dapsone. The etiopathogenesis has not been clarified up to now. METHODS:An immunohistochemical study was carried out for the expression of various markers on epidermal and dermal cell population...

    journal_title:International journal of dermatology

    pub_type: 杂志文章


    authors: Kontochristopoulos GJ,Aroni K,Panteleos DN,Tosca AD

    更新日期:1995-11-01 00:00:00

  • Isotretinoin treatment for folliculitis decalvans: a retrospective case-series study.

    abstract:BACKGROUND:The literature includes only a few reports of oral isotretinoin for the treatment of folliculitis decalvans (FD). This study aimed to determine the most effective dose and duration of oral isotretinoin monotherapy for achieving remission in FD patients. METHODS:This retrospective case series study included ...

    journal_title:International journal of dermatology

    pub_type: 杂志文章


    authors: Aksoy B,Hapa A,Mutlu E

    更新日期:2018-02-01 00:00:00

  • Nasal glioma.

    abstract::Light and electron microscopic studies in a case of nasal glioma revealed a tumor composed nearly entirely of astrocytes. No ganglion cells or neurons were present and the mass was not surrounded by a capsule reminiscent for meningeal tissue. The vasculature resembled dermal patterns rather than typical central nervou...

    journal_title:International journal of dermatology

    pub_type: 杂志文章


    authors: Gebhart W,Hohlbrugger H,Lassmann H,Ramadan W

    更新日期:1982-05-01 00:00:00

  • Epidemiological studies on head lice infestation in Israel. I. Parasitological examination of children.

    abstract::Of 3,079 children in a medium-sized community near Jerusalem, 11.2% were found to be infested with living lice and eggs and another 23.4% had only nits. Boys and girls were equally infested. The incidence of infestation was highest among children 4-11 years of age. About 78% of the infested children had from one to te...

    journal_title:International journal of dermatology

    pub_type: 杂志文章


    authors: Mumcuoglu KY,Miller J,Gofin R,Adler B,Ben-Ishai F,Almog R,Kafka D,Klaus S

    更新日期:1990-09-01 00:00:00

  • Erosive pustular dermatosis of the scalp: causes and treatments.

    abstract::Erosive pustular dermatosis of the scalp is a rare condition which primarily affects older women after local trauma and has historically been treated with topical steroids. As it is a rare entity and resembles other dermatologic conditions, it may easily be misdiagnosed. Identifying the causes and evaluating the effic...

    journal_title:International journal of dermatology

    pub_type: 杂志文章,评审


    authors: Karanfilian KM,Wassef C

    更新日期:2021-01-01 00:00:00

  • Factors affecting patient presentation at a national dermatology referral clinic in Kampala, Uganda.

    abstract:BACKGROUND:This study sought to gain a better understanding of the patient population in Kampala and was further designed to elucidate barriers that may delay individuals from receiving proper dermatologic care. METHODS:The study took place at the dermatovenereology clinic of a tertiary care hospital in Kampala. New a...

    journal_title:International journal of dermatology

    pub_type: 杂志文章


    authors: Song ES,Musinguzi P,Dieckhaus KD

    更新日期:2017-03-01 00:00:00

  • Clinical study of twenty-nail dystrophy in Korea.

    abstract:BACKGROUND:Twenty-nail dystrophy (TND) is an idiopathic and non-congenital nail dystrophy that is characterized by excess longitudinal ridges and loss of luster in multiple nail plates. There are a few studies on TND. MATERIALS AND METHODS:In order to investigate the demographic and clinical characteristics of patient...

    journal_title:International journal of dermatology

    pub_type: 杂志文章


    authors: Lee YB,Cheon MS,Park HJ,Cho BK

    更新日期:2012-06-01 00:00:00

  • Characterization of circulating lymphocytes by monoclonal antibodies in childhood and adult leprosy.

    abstract::Peripheral blood lymphocyte assays using monoclonal antibodies were done in 66 patients with leprosy, consisting of 25 children and 41 adults. The results were statistically analyzed for correlations, if any, among the different age groups and matched controls. The results, however, failed to show any significant corr...

    journal_title:International journal of dermatology

    pub_type: 杂志文章


    authors: Sehgal VN,Chaudhry A,Sharma VK,Gupta CK

    更新日期:1991-11-01 00:00:00

  • Acupuncture in dermatology: an historical perspective.

    abstract::Classical acupuncture focuses primarily on treating the person, and secondarily treating the illness. The "symptoms" are regarded as "branch" expressions of a "root" (constitutional) imbalance. Different root imbalances can produce the same symptoms. Five patients with eczema, for example, may reveal five distinct roo...

    journal_title:International journal of dermatology

    pub_type: 历史文章,杂志文章


    authors: Tan EK,Millington GW,Levell NJ

    更新日期:2009-06-01 00:00:00

  • The course and prognosis of pemphigus. A review of 115 patients.

    abstract::A survey of 115 pemphigus patients who have been followed for 4-24 years was carried out in an attempt to analyze the possible factors influencing the course and prognosis of the disease. At the time of the study, 45 patients were in complete remission, 45 still had lesions, and 25 had died. In 12 cases, the death occ...

    journal_title:International journal of dermatology

    pub_type: 杂志文章


    authors: Seidenbaum M,David M,Sandbank M

    更新日期:1988-10-01 00:00:00

  • Primary localized cutaneous amyloidosis.

    abstract::Fifty-seven patients with primary localized cutaneous amyloidosis (PLCA) were clinically and histopathologically reviewed. Two-thirds of patients had macular amyloidosis (MA). Intermediate cases having macular lesions with micropapules and/or lichens were identified. A spectrum for the disease is proposed, in which th...

    journal_title:International journal of dermatology

    pub_type: 杂志文章


    authors: Kibbi AG,Rubeiz NG,Zaynoun ST,Kurban AK

    更新日期:1992-02-01 00:00:00

  • A retrospective review of cutaneous lymphoma in Botswana.

    abstract:BACKGROUND:Primary cutaneous lymphoma (PCL) represents a heterogeneous collection of non-Hodgkin lymphomas originating in the skin. Our study describes the clinical and histological findings of cutaneous lymphoma within Botswana to expand the paucity of data on this rare disease in sub-Saharan Africa. METHODS:We condu...

    journal_title:International journal of dermatology

    pub_type: 杂志文章


    authors: Rodriguez O,Sowash M,Mosojane KI,Ralefala T,Grover S,Haun P,Kovarik C,Williams VL

    更新日期:2020-03-01 00:00:00

  • Immunohistochemical analysis of FOXP3+ regulatory T cells in healthy human skin and autoimmune dermatoses.

    abstract:BACKGROUND:Regulatory T cells (Tregs) play an important role in autoimmune diseases. In skin, the presence of Tregs is thought to be mandatory for suppression of autoreactive T cells. Here, we assess the number of Tregs in skin of healthy subjects and patients with an autoimmune dermatosis. METHODS:Immunohistochemical...

    journal_title:International journal of dermatology

    pub_type: 杂志文章


    authors: Terras S,Gambichler T,Moritz RK,Altmeyer P,Lambert J

    更新日期:2014-03-01 00:00:00

  • Lupus erythematosus-like eruption due to D-penicillamine in progressive systemic sclerosis.

    abstract::A 58-year-old woman with progressive systemic sclerosis developed a butterfly erythematous eruption, hemorrhagic maculae, crusting, and erosions on the face 15 days following administration of D-penicillamine. This appeared to be a lupus erythematosus-like eruption due to an adverse drug reaction to D-penicillamine be...

    journal_title:International journal of dermatology

    pub_type: 杂志文章


    authors: Tsankov NK,Lazarova AZ,Vasileva SG,Obreshkova EV

    更新日期:1990-10-01 00:00:00

  • Bullous pemphigoid. Occurrence in a patient with mycosis fungoides receiving PUVA and topical nitrogen mustard therapy.

    abstract::A 57-year-old woman with mycosis fungoides developed blisters within cutaneous plaques while receiving PUVA therapy and topical nitrogen mustard. Direct and indirect immunofluorescence studies showed the findings of bullous pemphigoid. Her bullous disease was controlled after cessation of these therapies and instituti...

    journal_title:International journal of dermatology

    pub_type: 杂志文章


    authors: Patterson JW,Ali M,Murray JC,Hazra TA

    更新日期:1985-04-01 00:00:00

  • Quality of life in patients with vitiligo: an analysis of the dermatology life quality index outcome over the past two decades.

    abstract::Vitiligo is one of the most important skin disorders that does not cause much physical impairment, but due to its disfiguring appearance, patients have disturbances in mental health and quality of life (QoL). The dermatology life quality index (DLQI), as one of the most specific QoL instruments, is now used widely for...

    journal_title:International journal of dermatology

    pub_type: 杂志文章,评审


    authors: Amer AA,Gao XH

    更新日期:2016-06-01 00:00:00

  • Infection versus disease in South American blastomycosis.

    abstract::The mechanism of infection in South American blastomycosis is discussed, and the probability of a mild or asymptomatic form of the disease, regressing spontaneously with subsequent immunity, in persons living in endemic areas. Primary lesions in the oral mucosa or in the skin have not been convincingly shown to occur ...

    journal_title:International journal of dermatology

    pub_type: 杂志文章,评审


    authors: Furtado T

    更新日期:1975-03-01 00:00:00

  • Immunohistochemical expression of Bcl-2 and Ki-67 in oral lichen planus and leukoplakia with different degrees of dysplasia.

    abstract:OBJECTIVES:Oral lichen planus (OLP) is a chronic inflammatory disease of unknown cause. Malignant transformation in OLP lesions may be favored by changes in the expression of proteins that regulate cell proliferation and apoptosis. This study aimed to investigate these issues by immunohistochemical staining for Bcl-2 a...

    journal_title:International journal of dermatology

    pub_type: 杂志文章


    authors: Pigatti FM,Taveira LA,Soares CT

    更新日期:2015-02-01 00:00:00

  • Tick bites in Korea.

    abstract:BACKGROUND:Tick bites are dermatoses not commonly encountered in Korea. Recognizing their clinical signs as well as their histopathologic findings is important in making a diagnosis of tick-related dermatoses. The incidence and causative species are different depending on the geographic areas. The histopathologic findi...

    journal_title:International journal of dermatology

    pub_type: 杂志文章,评审


    authors: Cho BK,Kang H,Bang D,Kim SN,Hwang S,Song ES

    更新日期:1994-08-01 00:00:00

  • A comparative study of various modalities in the treatment of keloids.

    abstract:INTRODUCTION:Treatment of keloids is a challenge as a result of paucity of effective treatment modalities, significant side effects, and their recurrent nature. In this study, various treatment modalities were compared to search for a treatment option with maximum efficacy and minimum side effects. METHODS:One hundred...

    journal_title:International journal of dermatology

    pub_type: 杂志文章,随机对照试验


    authors: Aggarwal A,Ravikumar BC,Vinay KN,Raghukumar S,Yashovardhana DP

    更新日期:2018-10-01 00:00:00

  • Cephalic pyoderma gangrenosum (PG)-like lesions as a presenting sign of Wegener's granulomatosis.

    abstract:BACKGROUND:Pyoderma gangrenosum (PG)-like lesions can be associated with Wegener's granulomatosis (WG); in rare instances, they could be the presenting sign of WG. The purpose of this study was to elucidate the relationship between these two disorders. METHODS:The clinical and histologic data from a case of WG with pr...

    journal_title:International journal of dermatology

    pub_type: 杂志文章,评审


    authors: Micali G,Cook B,Ronan S,Yadgir J,Solomon LM

    更新日期:1994-07-01 00:00:00

  • Prurigo pigmentosa: not an uncommon disease in the Turkish population.

    abstract:BACKGROUND:Prurigo pigmentosa (PP) is a rare inflammatory dermatosis of unknown etiology. It is characterized by erythematous papules of the trunk that resolve leaving a reticulate hyperpigmentation. The original report from Japan in 1971 was followed by new cases, mostly of Japanese origin. METHODS:We scrutinized PP ...

    journal_title:International journal of dermatology

    pub_type: 杂志文章,评审


    authors: Baykal C,Buyukbabani N,Akinturk S,Saglik E

    更新日期:2006-10-01 00:00:00

  • Clear cell acanthoma: a rare clinical diagnosis prior to biopsy.

    abstract:BACKGROUND:Clear cell acanthoma is a rare, benign epidermal tumor with a clinical hybrid appearance and a distinct histological one. It is frequently mistaken for other clinical lesions. OBJECTIVE:To evaluate the frequency that clear cell acanthoma was listed in the clinical differential diagnosis of histologically co...

    journal_title:International journal of dermatology

    pub_type: 杂志文章


    authors: Morrison LK,Duffey M,Janik M,Shamma HN

    更新日期:2010-09-01 00:00:00

  • Clothing as protection from ultraviolet radiation: which fabric is most effective?

    abstract:BACKGROUND:With increasing levels of solar ultraviolet radiation (UVR) in the earth's near environment and evidence that exposure to UVR contributes to skin cancer, cataracts, and photoaging, protection of the skin is imperative during exposure to the sun. The purpose of this study was to examine the effectiveness of v...

    journal_title:International journal of dermatology

    pub_type: 杂志文章


    authors: Davis S,Capjack L,Kerr N,Fedosejevs R

    更新日期:1997-05-01 00:00:00

  • Deep mycoses in Amazon region.

    abstract::Patients with deep mycoses diagnosed in dermatologic clinics of Manaus (state of Amazonas, Brazil) were studied from November 1973 to December 1983. They came from the Brazilian states of Amazonas, Pará, Acre, and Rondônia and the Federal Territory of Roraima. All of these regions, with the exception of Pará, are situ...

    journal_title:International journal of dermatology

    pub_type: 杂志文章


    authors: Talhari S,Cunha MG,Schettini AP,Talhari AC

    更新日期:1988-09-01 00:00:00