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hello all,

ok, i'm gonna hear you groan at this question as it is not new (having seen after spending some considerable time searching this site:craig:!!!

...i am looking at purchasing a hand held cryo device (for tt of vp:deadhorse:!!!) and wanted to see what people have been using and any success/failures/tips etc...?

looking forward to hearing from you all:D

kind regards
poppet

 

I just made passing comment on cryo in this thread:
http://www.podiatry-arena.com/podiatry-forum/showthread.php?t=15263

 

Hi Poppet, if you let us know where you are based? maybe add a flag then you may get more specific suppliers to your area.
I use a large cylinder that we can get refilled once empty. The truck arrives the following day.
With this we do not have to spray, we can use cotton bud or similiar and we do not have collateral damage from those that you spray on.

Cheers

 

brilliant, thanks for the feedback...have now actually been using a device called cryopen.

pt's are tolerating it well enough
its easy to use
it's transportable - so useful for multiple clinics and home visits

too early to give an indication of its efficacy but will endevour to keep you posted on anecdotal evidence.

if anyone else is using this device, it would be good to compare notes?

poppet

 

Hi Poppet,

It was a while back now but I have used 2 different handheld VP tx; Histofreezer (which in my experience was not particularly good or effective) and also Cryospray which I felt achieved a much more efficent freeze to the tissues and patients usually reported was much more painful (which we all know they secretly like cos it means it must be working...)

Ian

 

hi Ian

thanks for that. i wonder why the cryospary had more success considering there is only a 2 degree difference? just goes to show how much pt belief has its effect on VP tt success:)

poppet

 

I often wondered if there was something in that - patients almost expected treatment to hurt and when it didnt dare I say they looked 'disappointed'

 

Hi poppet,

We too are looking for a suitable cryodevice and have tried Cryospray 59 by Cuxson Gerrard which uses tetrafluoroethane at -50C. The product was hopeless, plastic straws provided don't fit into nozzle water/air tight so spray goes everywhere. Sending back to supplier. How have you got on with the cryo pen?:confused:

 

Hi
i was about to post a similar question until i saw this thread. just wondering if anyone has had any success with histofreezer or wartner pro cryotherapy? i've just started working at a practice that currently does not treat warts very often,and hence there's no means for cryotherapy currently, so i'm just trying to weigh up my options.

thanks

 

Hi podiatrist 100,

(Goodness me & you're still practicing at that age!!!)

:welcome: to Podiatry Arena.

If you use the 'search' button across the top of the page & type in your search eg. Cryotherapy a page of relevant threads will appear.

http://www.podiatry-arena.com/podiatry-forum/search.php?searchid=388454

;) Hope this helps.

 

Most VP I have seen over the past 18 years have been at least 5mm deep and at the PCA 15mm deep. I have used Histo (NBG) The problem is getting deep enough to destroy the viral particles.

I use Mono and 66% Sal single unit VP
I also use a 25W Laser for Mosaic under LA
Tx time is 5 days from application to removal, and yes there is discomfort
I inform the patient of what they may experience over those 5 days and when the VP is removed in one piece healing time is about 48 hours.

Don Scott :welcome: +++ :santa:

 

hi,

i like the idea of developing a no nonsence response to treatment of VP's, however, pt's are individuals and so i also try to get them concordent with the treatment plan. i have been searching other VP related threads to find out what others are doing to treat this virus. i have found a wide variety of methods.

Don...i heavily debride VP sites prior to any application of further treatment and am interested in what you see and 'remove' when you remove the VP in one piece. you have many more year experience than i and i am keen to learn more from others experiences.

thanks

poppet

 

I would next time not to debride the area but mask off the wart and apply chemical. This will allow chemical to penetrate slower. By day 5 the wart will be ready to be removed entact. If I could insert picture from my hard drive I have quite a few from start to finish of treatment. Or I could email you some

Don Scott
Australia

 

pictures would be great...thanks Don...are you able to email them via this site???

poppet

 

Hi Don,

To attach a file or photo:

The information is available on the FAQs area of the Arena. Hope it helps. ;)