Name of the Procedure:

Excision of Tumor, Soft Tissue of Abdominal Wall, Subcutaneous; Less than 3 cm

Summary

This procedure involves surgically removing a small tumor (less than 3 centimeters in size) from the soft tissue located just beneath the skin of the abdominal wall.

Purpose

The procedure is designed to remove abnormal growths or tumors from the subcutaneous layer of the abdominal wall. The goal is to eliminate the tumor, reduce symptoms, and prevent any potential malignancy or complications arising from the growth.

Indications

• Presence of a palpable lump or mass in the abdominal wall
• Pain or discomfort in the area of the tumor
• Skin changes over the tumor (such as redness or ulceration)
• Suspicious imaging findings suggesting a subcutaneous tumor in the abdominal wall

Preparation

• Patients may be asked to fast for several hours before the procedure.
• Medication adjustments may be necessary, especially for blood thinners.
• Preoperative blood tests and imaging studies (like an ultrasound or MRI) might be required to evaluate the tumor's size and exact location.

Procedure Description

1. The patient is positioned comfortably, and the abdominal area is sterilized.
2. Local anesthesia is administered to numb the area.
3. A small incision is made over the tumor.
4. The surgeon carefully dissects through the soft tissue to expose and excise the tumor.
5. The tumor is removed, and the surrounding tissue is inspected to ensure complete excision.
6. The incision is closed with sutures or surgical staples.
7. The area is cleaned and dressed with a sterile bandage.

Duration

The procedure typically takes about 30-60 minutes.

Setting

Performed in an outpatient clinic, surgical center, or hospital.

Personnel

• Surgeon
• Surgical nurse
• Anesthesiologist (if needed for sedation or general anesthesia)
• Operating room technician

Risks and Complications

• Infection at the surgical site
• Bleeding or hematoma formation
• Scarring
• Recurrence of the tumor
• Damage to surrounding tissues

Benefits

• Removal of the tumor and related symptoms
• Reduced risk of the tumor becoming malignant
• Improved comfort and cosmetic appearance Benefits are usually realized shortly after recovery, with symptom relief and reduced concern about malignant potential.

Recovery

• Patients can typically go home the same day.
• Pain management with prescribed medications.
• Instructions on keeping the wound clean and dry.
• Avoid heavy lifting or strenuous activities for a few weeks.
• Follow-up appointment to check on healing and discuss pathology results.

Alternatives

• Observation and regular monitoring if the tumor is benign and asymptomatic.
• Non-surgical treatments like needle biopsy if the tumor is not suspected to be malignant.
• Pros: Non-invasive, less risk of complications.
• Cons: Tumor remains, potential for growth or malignancy not removed.

Patient Experience

• Mild discomfort during anesthesia injection.
• Some pressure or pulling sensation during the procedure.
• Post-operative pain managed with medication.
• Gradual return to normal activities within a week or two, with specific post-operative care instructions to promote healing.