Name of the Procedure:

Excision of Tumor, Soft Tissue of Leg or Ankle Area, Subcutaneous; 3 cm or Greater

Summary

This surgical procedure involves the removal of a tumor located in the soft tissue just beneath the skin of the leg or ankle area. The tumor is at least 3 centimeters in size. The operation aims to excise the entire tumor to prevent further complications and ensure proper diagnosis and treatment.

Purpose

The procedure addresses the presence of a subcutaneous tumor (benign or malignant) in the leg or ankle area. Its goals are to eliminate the tumor, relieve symptoms, prevent potential malignancy or spread, and restore normal function and aesthetics to the affected area.

Indications

• Presence of a subcutaneous tumor larger than 3 cm.
• Symptoms like pain, swelling, or restricted movement.
• Suspected malignancy based on imaging or biopsy.
• Failure of the tumor to respond to non-surgical treatments.
• Cosmetic concerns or visible lump under the skin.

Preparation

• Fasting for 6-8 hours before surgery, if general anesthesia is planned.
• Pre-operative blood tests and imaging studies like MRI or ultrasound.
• Discontinue certain medications like blood thinners as advised by the surgeon.
• Arrange for transportation home post-surgery.

Procedure Description

1. The patient is positioned comfortably, and the surgical site is cleaned and sterilized.
2. Anesthesia (local or general) is administered depending on the size and depth of the tumor.
3. A surgical incision is made over the tumor.
4. Carefully, the tumor is identified and excised along with a small margin of healthy tissue to ensure complete removal.
5. The incision is then closed with sutures or staples and covered with a sterile dressing.
6. The excised tumor is sent to pathology for further analysis.

Duration

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

Setting

The procedure is performed in a surgical center, outpatient clinic, or hospital operating room.

Personnel

• Surgeon (usually a general surgeon or orthopedic surgeon)
• Surgical nurse or technician
• Anesthesiologist, if general anesthesia is used

Risks and Complications

• Infection at the surgical site
• Bleeding or hematoma formation
• Scarring
• Damage to nearby nerves or tissues
• Adverse reaction to anesthesia
• Recurrence of the tumor

Benefits

• Complete removal of the tumor
• Relief from related symptoms such as pain and swelling
• Prevention of potential malignant transformation
• Improved aesthetic and functional outcomes

Recovery

• Keep the surgical site clean and dry.
• Follow pain management instructions, including prescribed medications.
• Limit physical activity for a few days and gradually resume as advised.
• Follow-up appointments for wound check and removal of sutures/staples.
• Full recovery can be expected within 2-4 weeks, depending on the surgery's complexity and individual healing rate.

Alternatives

• Watchful waiting with regular monitoring
• Non-surgical treatments like needle biopsy or aspiration (if appropriate)
• Radiation or chemotherapy (for certain malignant tumors)
• Cryotherapy (freezing the tumor)

Patient Experience

During the procedure, patients under local anesthesia will feel minimal discomfort, while those under general anesthesia will be entirely unconscious. Post-procedure, patients may experience mild pain or discomfort at the surgical site, which is manageable with pain medication. Swelling and bruising are common but subside in a few days. Regular follow-up ensures proper healing and monitoring for any complications.