The efficacy of silver nitrate cauterization for pyogenic granuloma of the hand

Purpose: We report a series of pyogenic granulomas of the hand treated effectively in the office with silver nitrate cauterization. Methods: Twelve patients with 13 pyogenic granulomas of the hand were treated. The average duration of symptoms was 2 months. Masses were removed bluntly, pressure was held proximal to the lesion to effect hemostasis, and the base of the lesion was cauterized with silver nitrate applicators. After treatment patients were instructed to keep the lesions absolutely dry for 2 weeks. Results: Complete resolution of the pyogenic granuloma was achieved in 85% of patients after an average of 1.6 treatments (range, 1-3 treatments). Conclusions: Pyogenic granuloma of the hand can be treated simply and effectively with silver nitrate cauterization in the office setting. (J Hand Surg 2003;28A:435-438. Copyright (C) 2003 by the American Society for Surgery of the Hand.)