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About Lipoma Surgery In Kolhapur

First of all, we will receive a regular medical examination and have a surgery at a later date by appointment. The operation time is usually 10 to 30 minutes, but resection of a malignant tumor or surgery may take about 1 hour. In addition, at the time of the examination, if it is judged that surgery at a general hospital is appropriate.

Target surgery

Benign skin/subcutaneous tumors: pigmented nevus (mole), atheroma (atheroma), lipoma, hemangiomas, calcifying epithelioma, etc.

Malignant skin tumors: Bowen's disease, actinic keratosis, squamous cell carcinoma, basal cell carcinoma, malignant melanoma (mole cancer), etc.

Others: Ptosis of the eyelid, endothelium of the eyelid (reverse eyelashes), axillary odor (armpit), keloid, etc.

Pre-operative points

(1) Persons with local anesthesia allergy, those with drug allergy

We perform resection under local anesthesia using xylocaine. We do not have surgery for those who are allergic to anesthesia. If a person with allergy to local anesthesia wishes to undergo resection, go to a general hospital. Let me introduce you. In addition, after resection, we prescribe antibiotics to prevent infection of surgical wounds and painkillers (painkillers) for post-operative pain. For patients who have had drug allergies in the past, be sure to inform the doctor/nurse/staff beforehand.

(2) Preoperative blood test

We perform blood tests (blood collection) before surgery in order to safely perform surgery. In addition to anemia, the number of platelets that stop bleeding, liver function, renal function, hepatitis B, hepatitis C, and syphilis that are transmitted through blood are checked by blood tests. If you have performed blood tests at other hospitals, clinics or physical examinations in the past 3 months, you can skip the blood tests at our hospital or reduce the items in the blood tests, so please bring the test results. .

(3) Those taking oral antiplatelet agents, anticoagulants, etc.

Patients who are taking antiplatelet agents and anticoagulants have blood that becomes dry and it is difficult to stop, and during surgery, use an electric scalpel (bipolar) to prevent postoperative bleeding. It is necessary to stop the bleeding firmly. Be sure to tell your doctor, nurse, or staff that you are taking an antiplatelet or anticoagulant.

Notes on the day of surgery

Please have breakfast and lunch as usual. It is recommended that you have a bath or shower at home before surgery, as the affected area will not get wet on the night of the surgery. Please consult a little before the appointment time. After confirming that there are no problems with the physical condition on the day, surgery will be started. You will lie down in a surgical bed, disinfect and inject local anesthesia. The injection uses a thin needle to minimize pain. After confirming that the local anesthetic has numbed and the pain has disappeared, the surgery is started. The operation time is about 30 minutes. (Many people are nervous until the injection of local anesthesia, but there are some people who are relieved of their tension and go to sleep after the operation starts.) The affected area after surgery is uneven (for example, in dog's ear) The tumor is excised by making an incision in the skin in a spindle shape (a shape like a rugby ball) that is slightly larger than the size of the tumor so that it does not become a dog-ear. In addition, in order to make the scars as small as possible, a hollowing method (naveling method or mortice method) may be performed on the atheroma.

Post-operative notes

After surgery, take antibiotics and painkillers as directed. Normally, you should not wet the affected area on the day of surgery, but you can take a shower bath the next day. In order to confirm whether there is any abnormality on the affected area on the next day or the day after the next day, you should have a medical examination during the regular medical treatment hours. In addition, the thread removal will be done one week later, so please see the doctor on the specified day within the normal medical hours. After removing the yarn, taping will be done to make the scar less noticeable. If a large subcutaneous tumor is resected among subcutaneous tumors such as a lump and lipoma, a hematoma (blood clot) may be formed after the operation, and a drain (blood removal tube) is used to prevent the hematoma. May be inserted into the affected area. This drain is usually removed the next day or two days later.

Pathological results

The excised sample is submitted to a pathological examination, and a double check between the pathologist and the dermatologist who will outsource the examination will make a diagnosis of benign or malignant. The test results will be available about 2 weeks after the resection, so please come to the clinic and listen to the explanation of the test results during normal medical hours.

How does it develop?

When multiple lipomatosis is suspected, there is a hereditary influence of a familial character. When there are single lesions or few lesions, they are usually the result of proliferation of localized adipose tissue. Remember that obesity does not cause lipoma.

How does the health professional make the diagnosis?

The diagnosis is made through clinical examination. After its removal, it is sent for anatomopathological analysis for diagnostic confirmation.

How is it treated?

Treatment is surgical through complete excision of the lesion. After evaluation by a surgeon, it is decided to withdraw with local, regional or general anesthesia. In some cases, liposuction of the lesion can also be performed.

After removal of the lesion, it is subjected to an examination called anatomopathological where the surgical specimen is analyzed in order to differentiate the lipoma from other pathologies such as sarcoma, melanoma or other tumors.

How is it prevented?

So far there is no prevention for this type of pathology.

Flow of surgery

Consultation within normal medical hours Schedule surgery, blood test, explanation of precautions

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Surgery

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Confirmation of surgical wound Next day

Thread removal

One week later

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Explanation of pathological results

2 weeks later

About lipoma, about surgery for lipoma

Lipomas are benign tumors that develop under the skin.

It is often singular, but it can also be multiple.

It will gradually increase. It is often found on the back and shoulders.

Although there are no particular symptoms, the skin rises like a dome and feels like a soft lump.

The treatment is surgical removal. After incising the skin, the tumor, along with the capsule, is peeled from the surrounding tissue and excised.  If the size is large as shown, the skin may be cut into a spindle shape. In that case, the scratch marks after the operation will be clean.

If the size is not too large, make a straight incision directly above the tumor to match the wrinkles on the skin. A cavity will be created when the tumor is removed, so suture under the skin with absorbent thread so that there is no cavity left.

If a cavity remains, blood may collect in it (hematoma).

If the size of the tumor is large, the cavity after removal will be large, so a thin tube called a drain is passed from the scratch mark to the cavity.

By doing so, the blood that has accumulated in the cavity travels through the drain and comes out to prevent hematoma.

Drain the drain the day after or two days after surgery.

Just in case, the removed lipoma is submitted for pathological examination (inspecting the tissue under a microscope). It will take about a week for the results to be known.