11421 Excision, benign lesion including margins, except skin tag (unless listed elsewhere), scalp, neck, hands, feet, genitalia; excised diameter 0.6 to 1.0 cm

Name of the Procedure:

Excision of Benign Lesion Including Margins (except skin tag), Scalp, Neck, Hands, Feet, Genitalia; Excised Diameter 0.6 to 1.0 cm

Summary

This procedure involves the surgical removal of a non-cancerous lesion from the scalp, neck, hands, feet, or genitalia. The diameter of the excised area ranges between 0.6 to 1.0 cm. The procedure includes removing some surrounding tissue to ensure all abnormal cells are excised.

Purpose

The primary purpose is to remove benign growths that may cause discomfort, cosmetic concerns, or potential health issues if left untreated. The goal is to fully excise the lesion with clean margins to prevent recurrence.

Indications

• Presence of a benign lesion on the scalp, neck, hands, feet, or genitalia.
• Symptoms like pain, irritation, or bleeding from the lesion.
• Cosmetic concerns or significant changes in the lesion’s size, shape, or color.
• Risk assessment suggesting potential development into a more serious condition.

Preparation

• Follow specific fasting instructions if sedation or anesthesia will be used.
• Adjust medications as instructed by the healthcare provider (e.g., blood thinners).
• Possibly undergo diagnostic tests, such as a biopsy, to determine the lesion's nature.

Procedure Description

1. The area around the lesion is cleaned and sterilized.
2. Local anesthesia is administered to numb the area.
3. The surgeon uses a scalpel or other surgical tool to cut around the lesion, including a margin of normal tissue.
4. The tissue is carefully removed and sent for pathological examination if necessary.
5. The wound is closed with sutures or another method, depending on the size and location.
6. A sterile dressing is applied to the site.

Duration

The procedure typically takes about 30 minutes to 1 hour, depending on the lesion's size and complexity.

Setting

This procedure is generally performed in an outpatient clinic, hospital setting, or surgical center.

Personnel

• A surgeon or dermatologic surgeon
• Nursing staff
• Anesthesiologist (if general anesthesia or sedation is required)

Risks and Complications

• Common risks: Infection, bleeding, scarring, temporary pain, or discomfort.
• Rare risks: Allergic reaction to anesthesia, significant scarring, or incomplete excision requiring further surgical intervention.

Benefits

• Removal of the benign lesion and associated symptoms.
• Prevention of potential complications related to the lesion.
• Improved cosmetic appearance and comfort.
• Pathological evaluation of the lesion if needed.

Recovery

• Keep the wound clean and dry as per post-procedure instructions.
• Follow-up appointment for suture removal or wound check, typically within 1-2 weeks.
• Over-the-counter pain relievers as needed.
• Avoid strenuous activities or pressure on the excision site for several days.

Alternatives

• Watchful waiting and monitoring the lesion for changes.
• Non-surgical treatments like cryotherapy or laser therapy.
• Each alternative has different risks, benefits, and effectiveness, which should be discussed with the healthcare provider.

Patient Experience

Patients may feel slight pressure during the procedure but should not feel pain due to local anesthesia. Post-procedure discomfort is usually minimal and can be managed with pain relief measures. Some swelling and redness are expected, but these should subside within a few days. Clear instructions will be provided for wound care to ensure smooth recovery.