11404 Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised diameter 3.1 to 4.0 cm

Name of the Procedure:

Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms, or legs; excised diameter 3.1 to 4.0 cm

Summary

This procedure involves surgically removing a non-cancerous growth (benign lesion) along with a margin of healthy tissue from the trunk, arms, or legs. The lesion to be removed measures between 3.1 and 4.0 centimeters in diameter.

Purpose

The procedure is designed to remove benign lesions that may be causing discomfort, have an unsightly appearance, or have potential for complications if left untreated. The primary goal is to eliminate the lesion entirely while minimizing the risk of recurrence and ensuring cosmetic and functional outcomes.

Indications

• Presence of a benign lesion on the trunk, arms, or legs that is between 3.1 and 4.0 cm in diameter.
• Symptoms such as pain, irritation, or infection associated with the lesion.
• Cosmetic concerns or potential for malignancy transformation.
• Patient preference for removal after discussion with the physician.

Preparation

• Patients may be advised to avoid certain medications like blood thinners before the procedure.
• Fasting may not be required unless sedation is planned.
• Diagnostic tests such as an ultrasound or biopsy might be done to confirm the benign nature of the lesion.

Procedure Description

1. The patient is prepped and the surgical area is cleaned and sterilized.
2. Local anesthesia is administered to numb the area.
3. The surgeon makes an incision around the lesion, ensuring the removal includes a margin of healthy tissue.
4. The lesion and surrounding tissue are excised.
5. The site is then closed with sutures; a dressing is applied to protect the area.
6. The excised tissue is often sent to a lab for pathological examination.

Duration

The procedure typically takes about 30 to 60 minutes, depending on the size and location of the lesion.

Setting

This excision is usually performed in an outpatient clinic or a minor procedure room in a hospital.

Personnel

• A general surgeon or dermatologist performs the excision.
• A nurse assists in the procedure and provides post-operative care.
• An anesthesiologist may be involved if sedation is required.

Risks and Complications

• Common: Bleeding, infection, scarring.
• Rare: Nerve damage, incomplete removal leading to recurrence, allergic reaction to anesthesia.

Benefits

• Removal of the lesion, alleviating symptoms.
• Improved appearance and reduced risk of lesion-related complications.
• Pathological examination can definitively rule out malignancy.

Recovery

• Post-procedure care includes keeping the wound clean and dry, monitoring for signs of infection, and adhering to dressing change instructions.
• Stitches may need to be removed in a follow-up visit.
• Most patients can resume normal activities within a few days, with full recovery typically within 1 to 2 weeks.

Alternatives

• Observation: Monitoring the lesion for changes without immediate intervention.
• Non-surgical removal methods such as cryotherapy or laser ablation.
• Pros and cons should be discussed with the physician to determine the best approach.

Patient Experience

• During the procedure, the patient will feel the initial sting of local anesthesia but should not feel pain during the excision.
• Post-procedure, there may be mild discomfort or pain at the site, managed with over-the-counter pain relievers.
• Following post-care instructions will facilitate smooth healing and minimize scar formation.