Surgical skin-marking techniques

Mark S. Granick, Frederick R. Heckler, E. West Jones

Research output: Contribution to journalArticlepeer-review

10 Scopus citations

Abstract

Surgical skin-marking inks and dyes are in everyday use for designing and planning incisions in plastic and reconstructive surgery. We have traced the historical development of surgical skin-marking techniques from ancient times to the present. The biochemical characteristics of the commonly used marking agents are discussed. A three-part experiment utilizing a pig model was carried out to test the tissue inflammatory response to the various dyes and inks when used intradermally as tattoos, the persistence of such tattoos, and the ease of skin erasure for each of eight stains. Methylene blue and gentian violet are recommended as the best all-purpose marking agents. The use of proprietary inks is discouraged.

Original languageEnglish (US)
Pages (from-to)573-580
Number of pages8
JournalPlastic and Reconstructive Surgery
Volume79
Issue number4
DOIs
StatePublished - Apr 1987
Externally publishedYes

All Science Journal Classification (ASJC) codes

  • Surgery

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