Surgical Pearl: The cotton-tipped applicator as a suture scissors stabilizer in cutting suture

Abstract

cotton-tipped applicator as described above. This minimizes potential iatrogenic trauma to the wound edges from improper handling and excessive pressure applied with forceps. (2) Hemostatic control is quickly achieved. As the cotton-tipped applicator is introduced into the defect, hemostasis is achieved both through direct pressure applied to the base and sidewalls of the defect as well as through absorption of blood into the cotton tip. 3 Tamponade of the defect using the applicator for hemostasis has recently been reported; however, the above technique further expands upon the concept. (3) Safety and efficiency are maintained. The cotton-tipped applicator replaces the tissue forceps thus no additional steps are required. Hemostasis is maintained while everting tissue edges, eliminating the need to periodically blot the defect with gauze to obtain a clear visual field. This reduces the potential for needle stick complications. If the cotton tip contacts the skin surface outside of the prepared field, a new applicator should be used to avoid wound contamination from the skin flora.