Name of the Procedure:

Excision, tumor, soft tissue of pelvis and hip area, subfascial (e.g., intramuscular); less than 5 cm

Summary

This procedure involves surgically removing a tumor from the soft tissues located in the subfascial region (beneath the fascia and often within the muscle) of the pelvis and hip area. The tumor to be removed is less than 5 centimeters in size.

Purpose

This procedure is performed to remove benign or malignant tumors or other abnormal growths in the soft tissues of the pelvis and hip area, thereby preventing further complications such as pain, impaired function, or the spread of malignancy. The expected outcome is the complete excision of the tumor with minimal impact on surrounding tissues.

Indications

• Presence of a detectable soft tissue tumor in the pelvis or hip area.
• Symptoms such as pain, pressure, or reduced mobility.
• Imaging studies confirming the size and location of the tumor.
• Biopsy results indicating the potential malignant or benign nature of the tumor.

Preparation

• Patients may need to fast for several hours before the procedure.
• Adjustments to regular medications, particularly anticoagulants, may be necessary.
• Pre-procedure imaging (MRI or CT scans) to precisely locate the tumor.
• Routine blood tests and medical clearance from a physician.

Procedure Description

1. Anesthesia is administered to ensure the patient is comfortable; this may be general or regional anesthesia based on the case.
2. An incision is made over the tumor site.
3. Careful dissection through the subfascial layers to locate the tumor.
4. The tumor is excised along with a margin of healthy tissue to ensure complete removal.
5. The site is checked for bleeding and then closed with sutures.
6. A sterile dressing is applied to the surgical site.

Duration

The procedure typically takes between 1 to 2 hours, depending on the exact size and location of the tumor.

Setting

The procedure is usually performed in a hospital operating room or a specialized surgical center.

Personnel

• A specialized surgeon (e.g., orthopedic surgeon, oncologic surgeon)
• An anesthesiologist
• Surgical nurses and technicians

Risks and Complications

• Infection at the surgical site
• Bleeding or hematoma formation
• Damage to surrounding tissues or structures
• Reaction to anesthesia
• Scar formation
• Potential for incomplete removal of the tumor, requiring further surgery

Benefits

• Removal of the tumor reduces symptoms or prevents complications.
• Improved function and pain relief.
• Reduces the risk of tumor spreading if it is malignant.

Recovery

• Pain management will be provided post-surgery.
• The patient may need to stay in the hospital for a short period.
• Instructions on wound care and activity restrictions.
• Follow-up appointments to check healing and monitor for recurrence.
• Typically, full recovery takes several weeks.

Alternatives

• Observation and regular monitoring for small, asymptomatic tumors.
• Radiation therapy or chemotherapy, particularly if the tumor is malignant.
• Minimally invasive procedures if suitable for the particular case.

Patient Experience

Patients will feel the effects of anesthesia during the procedure and may experience some pain and discomfort during recovery, which can be managed with prescribed pain medications. There might be restrictions on movement and activities to allow proper healing.