Intra-abdominal findings
Such formations are often detected on ultrasound/MSCT in previously operated patients, and adhesions are the main technical difficulty: first, the anatomy is restored, then the formation is isolated while preserving the vessels of the mesentery and intestine; in case of doubt, urgent histology is performed. Cysts are removed without opening; in case of tumors, the volume is consistent with oncological principles (if necessary, conversion to an extended operation, which is discussed in advance). Drainage 1–2 days, recovery 2–3 weeks, final diagnosis by histology.
Indications
- lipomas, atheromas, fibromas of any location - growth, discomfort, aesthetics;
- skin formations requiring histology (traumatable nevi, keratomas, basal cell carcinomas in agreement with the oncologist);
- formations of the anterior abdominal wall (desmoid, postoperative granulomas);
- formation of the abdominal cavity in combination with the adhesive process.
Why remove with histology
Any removed formation must be examined under a microscope - this is the only way to exclude rare but important findings (liposarcoma in a “lipoma”, basal cell carcinoma in a “mole”) and confirm the completeness of the removal. Surgical excision within healthy tissue with a capsule is the only way to avoid recurrence of atheromas and lipomas. Minor procedures are performed on an outpatient basis in 20–30 minutes with a cosmetic suture; large and deep - with a hospital and anesthesiologist.
