Option without research
Price separates operations with and without histology: refusal is permissible only for multiple typical, slowly growing soft lipomas based on the informed decision of the patient - the doctor always recommends a study, and with the slightest atypical signs (density, rapid growth, depth under the fascia, size more than 5-7 cm), it is mandatory (see option with histology next). The surgical technique is no different: complete enucleation with a capsule, drainage for a large cavity, cosmetic suture; observation until suture removal is included.
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.
