Name of the Procedure:

Excision of Benign Tumor (Lesion Diameter up to 1.25 cm)

Summary

This procedure involves the surgical removal of a benign (non-cancerous) tumor or lesion that is up to 1.25 cm in diameter. The procedure is relatively minor and is designed to excise the growth safely and effectively.

Purpose

The procedure aims to:

• Remove benign tumors or lesions that may be causing discomfort, cosmetic concerns, or have potential to grow larger.
• Ensure the growth is not causing any harm to surrounding tissues.

Indications

The procedure is indicated for:

• Patients with small benign tumors or lesions on the skin or just below it.
• Individuals experiencing discomfort, irritation, or cosmetic concerns due to the growth.

Preparation

• Patients may be instructed to fast for a few hours if sedation is to be used.
• Some medications may need to be adjusted or stopped temporarily.
• The area around the lesion will be cleaned and sterilized.

Procedure Description

1. The area around the tumor is cleaned and sterilized.
2. Local anesthesia is administered to numb the area.
3. The surgeon makes a small incision around the tumor.
4. The tumor is carefully excised, ensuring clear margins around the growth.
5. The incision site is closed with sutures or adhesive strips.
6. A sterile dressing is applied to protect the area.

Duration

The procedure typically takes about 30 minutes to one hour.

Setting

The excision is usually performed in an outpatient clinic or surgical center.

Personnel

• Surgeon or dermatological surgeon
• Nurse or surgical assistant
• Anesthesiologist or nurse anesthetist (if sedation is used)

Risks and Complications

Common risks include:

• Infection at the surgery site
• Minor bleeding or bruising Less common complications:
• Scarring or changes in skin pigmentation
• Nerve damage leading to numbness or tingling

Benefits

• Removal of the benign tumor.
• Relief from any symptoms caused by the tumor.
• Improved cosmetic appearance. Benefits are usually realized immediately after the procedure.

Recovery

• Keep the incision area clean and dry.
• Follow specific instructions for wound care.
• Attend follow-up appointments to monitor healing.
• Recovery time is typically about one to two weeks, with restrictions on strenuous activities.

Alternatives

• Observation and monitoring of the tumor for changes.
• Non-surgical methods such as cryotherapy (freezing the tumor).
• Pros of surgery: Complete removal of the lesion.
• Cons: Potential for minor scarring or complications.

Patient Experience

• Patients typically feel minimal discomfort during the procedure due to local anesthesia.
• Mild discomfort or pain is expected after the anesthesia wears off.
• Pain management includes over-the-counter pain relievers and occasionally prescription medication.
• Detailed post-procedure care and instructions ensure patient comfort and prompt recovery.