1. Surgical Tick Removal Wilderness & Environmental Medicine
Stylianos Roupakias, MD 
Wilderness & Environmental Medicine 
Volume 23, Issue 1, Pages (March 2012)
DOI: /j.wem
Copyright © 2012 Wilderness Medical Society Terms and Conditions

2. Figure
a, Tick attachment. b, Subcutaneous xylocaine injection. c, Limited skin excision (epidermis and dermis, diameter and depth = 2 mm to 3 mm) of the entire area around the bite. d, Complete tick removal (en bloc, the tick–skin junction with the parasite in full) and wound closure.
Wilderness & Environmental Medicine  , 97-99DOI: ( /j.wem )
Copyright © 2012 Wilderness Medical Society Terms and Conditions