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Innovations
2024
:4;
57
doi:
10.25259/CSDM_51_2024

Use of ultrasound jelly instead of normal saline during radiosurgery

Department of Dermatology, Venereology and Leprology, MGM Medical College and Hospital, Aurangabad, Maharashtra, India

*Corresponding author: Bhumika Mahawar, Department of Dermatology, Venereology and Leprology, MGM Medical College and Hospital, Aurangabad, Maharashtra, India. bhumi.mahawar96@gmail.com

Licence
This is an open-access article distributed under the terms of the Creative Commons Attribution-Non Commercial-Share Alike 4.0 License, which allows others to remix, transform, and build upon the work non-commercially, as long as the author is credited and the new creations are licensed under the identical terms.

How to cite this article: Deshmukh AR, Mahawar B. Use of ultrasound jelly instead of normal saline during radiosurgery. CosmoDerma. 2024;4:57. doi: 10.25259/CSDM_51_2024

PROBLEM

While doing radiosurgery, we have to apply normal saline to keep the skin tissue moist. Normal saline gets dried within 5 – 10 s, so we have to reapply it frequently if the radiosurgical procedure is long. If the lesions become dry, we are not able to cut or coagulate the lesion. This also requires the help of an assistant to constantly keep the lesion moist so as to perform the radiosurgical procedure.

SOLUTION

Ultrasound jelly is a good option to use instead of normal saline. Once applied, it keeps the skin tissue moist for almost 5 min. It is cheap, easily available, and mitigates the need for assistance during the procedure. Electrocardiogram jelly is another alternative.

Ultrasound jelly constitutes Carbopol 934, propylene glycol, methylparaben, triethanolamine, and blue dye 0.1%.[1] Adverse skin reactions with Doppler ultrasound gel are rare and related mostly to allergic contact dermatitis or contact urticaria [Video 1]. So far, 14 cases of contact dermatitis linked to ultrasonic gel have been reported in the published work.[2] The allergens involved are propylene glycol, imidazolidinyl urea, phenoxyethanol, triethanolamine, ethyl, methyl, butyl, and propyl parabens.

Video 1:

Ethical approval

The Institutional Review Board approval is not required.

Declaration of patient consent

The authors certify that they have obtained all appropriate patient consent.

Conflicts of interest

There are no conflicts of interest.

Use of artificial intelligence (AI)-assisted technology for manuscript preparation

The authors confirm that there was no use of artificial intelligence (AI)-assisted technology for assisting in the writing or editing of the manuscript and no images were manipulated using AI.

Video is available on:

https://doi.org/10.25259/CSDM_51_2024

Financial support and sponsorship

Nil.

References

  1. , , , . Preparation and evaluation of ultrasound transmission gel. Asian J Pharm Clin Res. 2019;12:422-7.
    [CrossRef] [Google Scholar]
  2. , , , , , , et al. Contact dermatitis due to ultrasound gel: A case report and published work review. J Dermatol. 2016;43:318-20.
    [CrossRef] [PubMed] [Google Scholar]

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