Name of the Procedure:

Shaving of epidermal or dermal lesion, single lesion, scalp, neck, hands, feet, genitalia; lesion diameter 1.1 to 2.0 cm

Summary

This procedure involves carefully shaving off a lesion from the skin, which could be on the scalp, neck, hands, feet, or genitalia. The lesion's size ranges from 1.1 to 2.0 cm in diameter. Shaving helps to remove unwanted or suspicious skin growths.

Purpose

The procedure addresses the presence of various skin lesions, which could be benign, pre-malignant, or cosmetically undesirable. The primary goals are to remove the lesion, diagnose the type of lesion through histological examination, and improve the appearance of the skin surface.

Indications

This procedure is indicated for patients with:

• Suspicious skin lesions that need histological examination.
• Benign skin growths causing discomfort, irritation, or aesthetic concerns.
• Pre-malignant lesions such as actinic keratosis.
• Specific patient factors like the lesion's location and size making this method appropriate.

Preparation

Before the procedure, patients might need:

• A consultation to evaluate the lesion.
• To inform the healthcare provider about any medications or chronic conditions.
• To avoid certain medications such as blood thinners to minimize bleeding risks.

Procedure Description

1. Preparation: The area around the lesion is cleaned and sterilized.
2. Anesthesia: A local anesthetic is injected to numb the area.
3. Shaving: Using a sterile blade, the provider carefully shaves off the lesion.
4. Control Bleeding: If necessary, bleeding is controlled using pressure, topical agents, or cauterization.
5. Wound Care: The area is then treated with an antiseptic and bandaged.

Duration

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

Setting

This procedure is usually performed in an outpatient clinic or dermatology office.

Personnel

• Dermatologist or trained healthcare provider
• Medical assistant or nurse for support

Risks and Complications

Common risks include:

• Bleeding
• Infection
• Scarring
• Pain at the procedure site

Rare complications might include:

• Allergic reaction to anesthetic
• Poor wound healing

Benefits

• Removal of the lesion
• Accurate diagnosis if the lesion is sent for histopathological examination
• Improved cosmetic appearance Patients typically notice benefits shortly after the procedure as healing progresses.

Recovery

Recovery involves:

• Keeping the area clean and dry initially
• Following wound care instructions given by the provider
• Attending follow-up appointments if necessary Recovery time varies but usually ranges from a few days to a couple of weeks.

Alternatives

Alternatives include:

• Cryotherapy (freezing the lesion)
• Laser removal
• Surgical excision Each alternative has its pros and cons, such as differences in scarring potential, pain levels, and cost.

Patient Experience

During the procedure, the patient might feel a brief sting from the anesthetic, followed by pressure or minimal discomfort. Post-procedure, there may be some soreness, redness, and minor swelling. Pain is usually mild and can be managed with over-the-counter pain relievers. The provider will offer detailed instructions to ensure a smooth recovery and minimize discomfort.