11422 Excision, benign lesion including margins, except skin tag (unless listed elsewhere), scalp, neck, hands, feet, genitalia; excised diameter 1.1 to 2.0 cm

Name of the Procedure:

Excision, benign lesion including margins, except skin tag (unless listed elsewhere), scalp, neck, hands, feet, genitalia; excised diameter 1.1 to 2.0 cm

Summary

This procedure involves the surgical removal of a benign (non-cancerous) lesion along with some surrounding tissue. It is specifically intended for lesions located on the scalp, neck, hands, feet, or genitalia with an excised diameter between 1.1 and 2.0 centimeters.

Purpose

The goal is to remove benign lesions which may be causing discomfort, cosmetic concerns, or potential functional impairment. This helps in preventing any potential complications or further growth of the lesion.

Indications

• Presence of benign skin lesions like cysts, moles, or warts that are causing discomfort or cosmetic concerns.
• Lesions that have changed in appearance, size, or color.
• Lesions causing functional issues due to their location.
• Patients with no underlying severe medical conditions that contraindicate surgery.

Preparation

• Follow pre-procedure instructions such as fasting if sedation is required.
• Review current medications with your healthcare provider; some medications may need to be adjusted.
• Pre-procedural diagnostic tests such as blood tests may be conducted to ensure patient safety.

Procedure Description

1. The area around the lesion is sterilized.
2. Local anesthesia is applied to numb the area.
3. An incision is made around the lesion, including a small margin of healthy tissue to ensure complete removal.
4. The lesion is carefully excised and removed.
5. The area is then closed with stitches if necessary, and a bandage is applied.
6. The excised tissue may be sent for pathological examination to ensure it is benign.

Duration

The procedure typically takes about 30 minutes to an hour, depending on the size and complexity of the lesion.

Setting

This procedure is usually performed in an outpatient setting such as a clinic or minor surgical center.

Personnel

• Surgeon or Dermatologic Surgeon
• Nurse or Surgical Assistant
• Anesthesiologist (if sedation is needed)

Risks and Complications

• Infection at the incision site
• Bleeding or hematoma
• Scarring or changes in skin appearance
• Allergic reactions to anesthesia
• Incomplete removal requiring further surgery

Benefits

• Removal of potentially problematic lesions
• Relief from pain or discomfort caused by the lesion
• Improved cosmetic appearance
• Prevention of potential complications associated with the lesion

Recovery

• Follow post-procedure care instructions such as keeping the area clean and dry.
• Pain management may include over-the-counter pain relievers.
• Stitches are typically removed within 7 to 14 days.
• Most patients can resume normal activities shortly after the procedure but should avoid strenuous activities until fully healed.
• Follow-up appointments may be scheduled to monitor healing.

Alternatives

• Observation and monitoring of the lesion if it is not causing significant issues.
• Non-surgical treatments such as cryotherapy or laser therapy for appropriate types of lesions.
• Pros and cons of alternatives vary; non-surgical methods may be less invasive but could require multiple treatments.

Patient Experience

During the procedure, the patient will be awake but will not feel pain due to local anesthesia. They may feel some pressure or movement. Post-procedure, patients may experience mild discomfort or pain, which can be managed with pain relievers. It is important to follow all given instructions for optimal healing and to avoid complications.