17111 Destruction (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), of benign lesions other than skin tags or cutaneous vascular proliferative lesions; 15 or more lesions

Name of the Procedure:

Destruction of Benign Lesions (e.g., laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement)

Summary

This procedure involves the removal or destruction of 15 or more non-cancerous skin lesions using various methods such as lasers, electric currents, freezing with liquid nitrogen, chemical applications, or surgical scraping.

Purpose

This procedure aims to remove benign skin lesions that are causing discomfort, cosmetic concerns, or other issues. It helps in improving skin appearance, preventing the lesions from growing or becoming problematic.

Indications

• Multiple benign skin lesions (e.g., warts, moles) causing irritation or disfigurement.
• Lesions that have not responded to other treatments.
• Patients experiencing physical or psychological distress due to the lesions.

Preparation

• Patients may need to discontinue certain medications (e.g., blood thinners) as advised by the physician.
• The treatment area will be examined and possibly marked.
• Pre-procedure photographs might be taken for comparison.
• No specific fasting required, but follow any individualized instructions from the healthcare provider.

Procedure Description

1. Local anesthesia is typically administered to numb the treatment area.
2. The chosen method (laser, cryo, electro, chemo, or curettement) will then be used to destroy the lesions:
   • Laser Surgery: A concentrated light beam targets and removes the lesion.
   • Electrosurgery: Electrical current heats and destroys the lesion.
   • Cryosurgery: Liquid nitrogen freezes and destroys the lesion.
   • Chemosurgery: Chemical agents are applied to destroy the lesion.
   • Surgical Curettement: A curette (surgical instrument) is used to scrape off the lesion.
3. Multiple lesions are treated in a single session, if feasible.
4. Post-procedure dressings might be applied to the treated areas.

Duration

The procedure typically takes between 30 minutes to 1 hour, depending on the number and size of lesions.

Setting

The procedure is generally performed in an outpatient clinic, dermatology office, or surgical center.

Personnel

• Dermatologist or surgeon
• Nurse or medical assistant

Risks and Complications

• Common: Redness, swelling, pain, blistering, or scarring at the treatment site.
• Rare: Infection, pigmentation changes, incomplete lesion removal.

Benefits

• Removal of multiple benign lesions in one session.
• Improved skin appearance and comfort.
• Quick recovery with minimal downtime.

Recovery

• Patients may experience mild discomfort or redness at the treatment site.
• Keep the area clean and protected; follow care instructions provided.
• Avoid sun exposure to the treated areas.
• Recovery generally takes 1-2 weeks, with follow-up appointments as needed.

Alternatives

• Watchful waiting if lesions are asymptomatic.
• Topical treatments (creams, ointments).
• Individual lesion removal if fewer spots are present.

Patient Experience

• During: Minimal pain due to local anesthesia; some sensations of pressure or tingling.
• After: Mild pain or discomfort managed with over-the-counter pain relievers and cool compresses.
• Follow care instructions for optimal recovery and to minimize complications.

By understanding these aspects, patients can better prepare for the procedure, assess their options, and have informed discussions with their healthcare providers.