Name of the Procedure:

Paring or cutting of benign hyperkeratotic lesion (e.g., corn or callus); more than 4 lesions

Summary

This procedure involves the careful removal of thickened skin formations known as corns or calluses that occur in areas exposed to persistent friction or pressure. In cases where more than four of these lesions are present, special techniques are employed to safely pare or cut away the excess skin.

Purpose

Paring or cutting of benign hyperkeratotic lesions addresses the discomfort and pain caused by corns and calluses. The goal is to reduce pain, improve the appearance of the skin, and prevent further complications such as infections.

Indications

Indications for this procedure include:

• Persistent pain or discomfort from multiple corns or calluses.
• Difficulty in walking or performing daily activities.
• Lesions that have not responded to conservative treatments.

Preparation

Patients may need to:

• Clean the affected area thoroughly before the procedure.
• Avoid applying creams or lotions on the day of the procedure.
• Inform the healthcare provider about any medications they are taking.

Procedure Description

1. Cleaning: The area around the lesions is cleaned with an antiseptic solution.
2. Anesthesia: Local anesthesia may be applied to numb the area.
3. Paring/Cutting: Using sterile instruments (like scalpels or paring knives), the healthcare provider carefully removes the thickened layers of skin.
4. Dressings: Post-procedure, the area may be covered with a sterile bandage.

Duration

The procedure typically takes about 30 to 60 minutes, depending on the number of lesions and their size.

Setting

This procedure can be performed in a variety of clinical settings, including outpatient clinics, dermatology offices, or podiatry practices.

Personnel

The procedure is usually performed by a:

• Dermatologist
• Podiatrist
• Trained nurse or medical assistant under the supervision of a healthcare provider

Risks and Complications

Common risks include:

• Bleeding at the site of the lesion
• Infection Rare complications may include:
• Scarring
• Recurrence of the lesions

Benefits

Benefits of the procedure include:

• Relief from pain and discomfort
• Improved mobility and functionality
• Enhanced skin appearance
• Benefits are usually noticed immediately following the procedure.

Recovery

• Keep the area clean and dry for the first 24-48 hours.
• Follow any specific wound care instructions provided.
• Avoid excessive pressure on the treated area.
• Follow-up appointments may be necessary to monitor healing.

Alternatives

Alternatives to this procedure include:

• Conservative treatments such as using protective pads, changing footwear, or applying moisturizing creams.
• Over-the-counter treatments like salicylic acid.

Pros and cons:

• Conservative treatments are less invasive but may be less effective for severe cases.
• Surgical options may provide more permanent relief but come with higher risks.

Patient Experience

Patients might feel:

• Mild discomfort during the procedure, especially if anesthesia is not used.
• Some soreness or tenderness in the treated area post-procedure. Pain management:
• Over-the-counter pain relievers may be recommended.
• Applying ice packs can help reduce discomfort and swelling.