title: The Overlapped Triple Circle Pulse Technique with Nd:YAG Laser for Refractory Hand Warts.
abstract: OBJECTIVE
  Inadvertent superficial treatment of hand warts causes recurrence, whereas aggressive treatment can lead to tissue defects resulting in hand dysfunction. This study aimed to determine the effectiveness of a novel laser treatment modality for recalcitrant hand warts.
  
  
  METHODS
  The study included 51 patients who were treated for 146 recalcitrant hand warts using 1064 nm long-pulsed Nd:YAG laser between 2011 and 2014. The laser treatment method is novel because each treated wart was aligned at the intersection point of the circles of 3 laser pulses per session.
  
  
  RESULTS
  Among the 146 hand warts, 88.35% were successfully treated with one session and 100% of those that required a second treatment session were treated successfully, based on the 12 month follow-up examination.
  
  
  CONCLUSIONS
  Long-pulsed Nd:YAG laser treatment was observed to be a safe, rapid, and effective method for treating recalcitrant hand warts.
authors.affiliation: 1 Department of Plastic, Reconstructive, and Aesthetic Surgery, Yeditepe University , Yeditepe Medical School, Istanbul Turkey .
authors.forename: Ugur Anil
authors.initials: UA
authors.lastname: Bingol
authors.affiliation: 2 Department of Dermatology, Yeditepe University , Yeditepe Medical School, Istanbul Turkey .
authors.forename: Asuman
authors.initials: A
authors.lastname: Cömert
authors.affiliation: 1 Department of Plastic, Reconstructive, and Aesthetic Surgery, Yeditepe University , Yeditepe Medical School, Istanbul Turkey .
authors.forename: Can
authors.initials: C
authors.lastname: Cinar
mesh_terms: D000293:Adolescent; D000328:Adult; D006229:Hand Dermatoses / Q000601:surgery*; D006801:Humans; D053844:Lasers, Solid-State / Q000627:therapeutic use*; D016896:Treatment Outcome; D014860:Warts / Q000601:surgery*; D055815:Young Adult