Plantar wart surgery

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

Surgery

The American Family Physician recommends:

First-line therapy	over the counter salicylic acid
Second-line therapy	Cryosurgery, intralesional immunotherapy, or pulsed dye laser therapy
Third-line therapy	Bleomycin, surgical excision

• Liquid nitrogen : Cryosurgery with liquid nitrogen. A common treatment that works by producing a blister under the wart. It is painful but usually nonscarring.
• Electrodesiccation and surgical excision produce scarring. If the wart recurs, the patient has a permanent scar along with the wart.
• Lasers may be effective, especially the 585nm pulsed dye laser which the most effective treatment of all, and does not leave scars, but is generally a last resort treatment as it is expensive and painful, and multiple laser treatments are required (generally 4-6 treatments repeated once a month until the wart disappears).