11420 Excision, benign lesion including margins, except skin tag (unless listed elsewhere), scalp, neck, hands, feet, genitalia; excised diameter 0.5 cm or less

Name of the Procedure:

Excision of a benign lesion, including margins, except skin tag, scalp, neck, hands, feet, genitalia; excised diameter 0.5 cm or less.

Summary

This is a minor surgical procedure used to remove a non-cancerous growth, or benign lesion, from sensitive areas like the scalp, neck, hands, feet, or genitalia. The removal includes a small margin of normal tissue around the lesion to ensure complete excision.

Purpose

The procedure aims to remove benign lesions that may cause discomfort, impair function, or have cosmetic concerns. Removing these lesions can also prevent potential complications, such as infection or unwanted growth.

Indications

• Presence of a benign lesion on the scalp, neck, hands, feet, or genitalia.
• Cosmetic reasons or medical discomfort.
• Lesions causing functional impairments or complications.
• Lesions that show signs of change or become symptomatic.

Preparation

• Follow specific fasting instructions if sedation is required.
• Adjust or stop certain medications as advised by the physician.
• Undergo any necessary diagnostic tests or assessments to evaluate the lesion and surrounding tissues.

Procedure Description

1. The area around the lesion is cleaned and sterilized.
2. Local anesthesia is administered to numb the area.
3. The surgeon makes an incision around the lesion, including a small margin of normal skin.
4. The lesion is carefully removed.
5. The incision is closed with sutures or adhesive strips.
6. A sterile bandage is applied to protect the area.

Duration

The procedure typically takes about 15-30 minutes, depending on the lesion's size and location.

Setting

The procedure is usually performed in an outpatient clinic or a minor surgery room in a hospital.

Personnel

• Surgeon or dermatologic surgeon
• Surgical nurse or assistant
• Anesthesiologist or nurse anesthetist (if sedation is needed)

Risks and Complications

• Infection at the surgical site
• Bleeding or hematoma formation
• Scarring or pigmentation changes
• Recurrence of the lesion
• Potential damage to nearby structures (rare)

Benefits

• Removal of the benign lesion, leading to relief from discomfort or cosmetic concerns.
• Prevention of potential complications associated with the lesion.
• Quick recovery and minimal downtime.

Recovery

• Follow post-procedure care instructions, including wound care and activity restrictions.
• Keep the area clean and dry, and change the bandage as advised.
• Return for follow-up appointments to monitor healing.
• Most patients can resume normal activities within a few days.

Alternatives

• Monitoring the lesion without immediate removal (watchful waiting).
• Cryotherapy (freezing the lesion).
• Laser therapy.
• Chemical peels or topical treatments for smaller or superficial lesions.
• Pros and cons should be discussed with the physician to determine the best approach.

Patient Experience

• During the procedure, the patient may feel slight pressure or tugging but should not experience pain due to local anesthesia.
• Post-procedure, there may be mild discomfort or tenderness at the site, which can be managed with over-the-counter pain relievers.
• Patients can typically return to their usual routine quickly, with minimal disruption to daily activities.