Lipoma Surgery in Lucknow

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SAFE REMOVAL OF LIPOMA

In Cosmetic Surgery Center, we treat the removal of small lipomas (1 - 5 cm) in outpatient surgery and larger lipomas (more than 5 cm) in Day Hospital and Day Surgery.

WHAT ARE LIPOMAS?

The term lipoma derives from the Greek "lipos", which means fat , and with this term we identify benign tumors that arise precisely from the patient's fat tissue.

The lipomas appear as subcutaneous nodules , usually painless and can be found in all parts of the body: the most common sites are the shoulders, neck, chest, back, arms and thighs.

The dimensions are extremely variable: from 1 cm, and, exceptionally, up to over 10 cm: their growth is very slow and usually create only an aesthetic problem.

When they arise in particular locations, such as the buttocks and back, their compression can create discomfort up to modest pain .

Some people may have multiple lipomas in various parts of the body.

WHAT ARE THE CAUSES OF LIPOMAS?

There is no specific cause for the onset of a lipoma.

It is the most common and widespread benign tumor and can occur in both sexes, although males appear to be the most affected.

They are rare in childhood and their most frequent finding is between 40 and 60 years.

They are found in both normal and overweight subjects, and in the latter patients the size of the lipomas may be more voluminous.

WHAT ARE THE SYMPTOMS OF LIPOMAS?

As has already been said, lipoma usually does not cause any disturbance : the patient notices a swelling , soft and mobile on the underlying tissues, and the skin is perfectly uniform, without any notes of inflammation.

When lipomas reach more conspicuous dimensions, in addition to the aesthetic problem, they can cause discomfort or modest pain upon their compression.

HOW IS LIPOMA DIAGNOSED?

The diagnosis of lipoma, in most cases, is very simple and is done by the doctor with simple visual evaluation and manual palpation.

In the case of larger lipomas, it may be necessary to perform an ultrasound to better understand the relationship of the lipoma with the underlying structures, in particular the muscle groups and muscles: all this in order to better plan the possible surgical removal.

Exceptionally, the lipoma can degenerate into a malignant tumor , and in these cases we speak of liposarcoma .
Unlike the common lipoma, liposarcoma

• it has a rapid and conspicuous growth;
• it is often painful ;
• it is no longer mobile on surrounding tissues.

WHAT IS THE THERAPY FOR LIPOMA?

The only therapy for lipomas is surgical removal , which should be recommended when these create aesthetic problems and when they reach a size of  over 1 cm.

The operation is normally performed in a surgical clinic with  local anesthesia : the skin incision is a function of the size of the lipoma, it will allow the isolation of the lipoma and its removal. A cosmetic suture will conclude the outpatient surgery.

All this applies to lipomas smaller than 5 cm : for lipomas of larger dimensions, adhering to the muscular or intra-muscular bands, or for those of the neck, the regional health regulations require the intervention to be carried out in the operating room, always with local anesthesia and possible anesthetic sedation, and always in day hospital.

Lipomas larger than 5 cm, and with the characteristics described above, may require the most complete instruments in the operating room and the assistance of the anesthetist. The operation is however performed in day surgery and the patient is discharged after a few hours, to check the surgical wound and to eliminate the effects of the anesthetic sedation performed.

THE REMOVAL OF LIPOMA IN Cosmetic Surgery Center

The Operative Unit of  General Surgery  of the Capitanio Hospital guarantees patients a complete care from the beginning of the diagnostic path until the postoperative discharge and in subsequent checks, for all pathologies of surgical interest.

On  an outpatient basis, the following  are carried out:

• specialist visits
•  outpatient interventions for the removal of skin and subcutaneous lesions 

• The lipomas are benign mesenchymal tumors that originate from adipose tissue. Histologically, the lipoma is made up of mature adipose cells, sometimes with the presence of fibrous septae ( fibrolipoma ). There are numerous variants (about forty).
• The simple lipomais the most common form, is localized in the majority of cases in the subcutaneous tissue and more rarely in deep seats, may have dimensions rather variable, usually single and some multiple time. In most cases the lipoma is circumscribed and delimited by a capsule that separates it from the surrounding adipose tissue. Sometimes the capsule is not present or is incomplete ( racemous lipoma and diffuse lipomatosis ) and the lipomatous tissue does not present an evident separation plane from the surrounding tissues.
• Among the diffuse lipomatoses we remember cervical lipomatosisalso known as Madelung's disease or Launois-Bensaude syndrome:  it is a voluminous mass of adipose tissue around the neck which in some cases can extend to the chest. For the sake of completeness, we finally recall the existence of visceral lipomas, which, however, for clinical and treatment, are beyond this discussion.

·          Causes

• The exact cause of lipoma formation is not yet known. Lipoma occurs more often starting from the third decade of life when the subcutaneous adipose tissue tends to accumulate with a peak of onset after the age of 50.
• Risk factors include diabetes mellitus, obesity, dyslipidemia, alcoholism and liver disease.

·          Symptoms

• The simple lipomasubcutaneous looks like a hard-elastic swelling, circumscribed, movable, generally indolent. It can become painful if a contiguous nerve is compressed. The most frequent locations are neck, shoulders, armpits, back, abdomen, arms and thighs.
• The racemous lipomamost frequently affects the deep sites of the nuchal, scapular, dorsal and limb regions. It appears as a less circumscribed and less mobile swelling due to its deep seat.

·          Diagnosis

• For simple subcutaneous lipoma, physical examinationis generally sufficient . For deep-seated lipomas and voluminous lipomas it is advisable to perform at least one soft tissue ultrasound to evaluate the exact site and the presence or absence of a capsule.
• In some cases it is advisable to perform an MRI. Diagnostic confirmation will be histological after excision. The biopsyis possible but must include a sufficient amount of tissue because both diagnostics.

·          Risks

• A simple lipoma that has not been removed, in most cases, does not cause any problems: it tends to remain stable or at most to grow slowly. However, it must be remembered that there is a malignant counterpart ( liposarcoma) which, despite having a different clinical behavior, sometimes in its initial stages could raise some diagnostic doubts with respect to lipoma.
• The most common risks of surgical removal are hematoma and bruising, wound infection and recurrence of the lipoma (in the case of racemous and diffuse lipomas). Rare but not negligible are the possible deficits due to a nerve injury during the removal of the lipoma such as the injury of the spinal accessory nerve in the posterior region of the neck.

·          Cures and Treatments

• The treatment of the lipoma is surgical and consists in the removal. However, not all lipomas must necessarily be removed. Symptomatic lipomas, growing and of uncertain nature, find surgical indication.
• The operation is generally performed under local anesthesia on an outpatient or day surgery basis.

Minimally invasive removal of lipomas

• What is it about

Lipoma is a benign tumor that originates from fat cells. The areas most affected are the neck, thighs, buttocks, arms and trunk.

There are various types of lipoma, but the most common form is the superficial lipoma which manifests itself with a soft swelling in the subcutis. The dimensions are variable. Furthermore, lipomas can be limited or spread to the whole body: in the latter case we speak of lipomatosis.

Subcutaneous lipomas are commonly asymptomatic, but in some cases they can be painful or uncomfortable. Clinical examination and an ultrasound are generally sufficient for a correct diagnosis. Lipomas can be checked periodically, but in some cases removal is indicated: it is generally performed under local anesthesia on an outpatient basis. A histological examination must always be performed on the removed tumor. The operation involves a minimally invasive surgery, thanks to the incisions smaller than a centimeter, which allow the removal of lipomas with a diameter greater than 6-7 centimeters and which are essential when there are many neoformations to be removed. On large lesions, the mini incision can be associated with liposuction. Interventions of this kind allow optimal aesthetic results.