The question of removal of the lipoma before the patient rises in the case when the classical treatment had no effect. But is it so necessary and what is it? Let's consider in more detail
Terminology
Lipoma - a tumor that develops in the subcutaneous fatty layer of connective tissue, occasionally can penetrate deep into the muscles.
The photo depicts the process of inflammation of the lipoma on the eyelid
. Lipoma removal is carried out by coagulation - "soldering" of blood vessels under the influence of medical instruments( laser, radio knife).
Do I need to remove lipomas?
If you need to treat a lipoma unambiguously, then you can delete it either at the request of the patient or according to the indications. It is worth noting that the desire to remove the lipoma may be associated not only with the discomfort of a possible inflammation, but also the cosmetic effect caused by subcutaneous tumors.
Indications can be relative and absolute. The first include:
- Pain syndrome, caused by compression of the nerve.
- The location of the tumor under the capsule of the parenchymal organ.
- Localization in the place where the lesion is constantly injured( rubbing against clothing, etc.).
- The lipoma has grown to such a size that it prevents the inflow / outflow of blood to the organs.
Absolute indications directly threaten the patient's life. These include:
- localization within the skull;
- the lipoma may burst into the abdominal half or the retroperitoneal space;
- tumor prevents the flow of cerebrospinal fluid;
- localization within the heart;
In the above cases shows the removal of the lipoma at an early date, since delay can lead to the sad consequences of .
Methods
Lipoma removal is an operation designed for complete excision of the lipoma along with its capsule.
In medical practice, several types of disposal are distinguished:
- radio wave;
- surgical;
- laser;
Everyone has their pros and cons, so you should consider them in more detail.
Radio wave method
If the lipoma is small( up to 5 cm) and non-fibroid in nature, it can be removed by intense high-frequency radio waves. The operation is performed under sterile conditions, has only one contraindication( the presence of a pacemaker) and many advantages:
- protection against bleeding;
- no pain;
- protection against complications, especially infectious and edemas;
- fast rehabilitation period( 1-2 weeks);
- no scarring on the wound after the procedure;
- no need to stitch;
- performed under local anesthesia, which allows the patient to leave the clinic on the day of the procedure;
The procedure is performed using a radio-knife, and the neoplasm is excised together with the capsule, which prevents the appearance of the lipoma in the same place.
Surgical:
The most common method of removing lipomas is surgical. In medical practice, 3 classical disposal methods are used:
- Minimally invasive. Effective on small wen. The result largely depends on the skill of the doctor, since parts of the lipoma may remain inside the cleared cavity. The operation consists of a small incision of the tumor and its subsequent vyluschivanii, as well as the appointment of a course of drug therapy.
- Liposuction. The procedure is carried out with a lipoaspirator. A small incision is made on the tumor, into which a tube is inserted, sucking out the contents of the lipoma. The disadvantage of this method is that the capsule of the wen may remain.
- Surgical intervention. The tumor is cut with a scalpel along the length, then the wen is removed. It is carried out on any adolescents, however, the more neglected the form, the higher the probability of complications.
The photo shows the initial stage of a surgical operation to remove lipoma on the head
The operating method is highly effective, however, it leaves behind a noticeable scar. If the lipoma is located on the scalp, then the procedure is accompanied by partial shaving of the hair.
Laser
The laser procedure is recognized as one of the most gentle. Before the operation, the laser has several significant advantages:
- Safety. The doctor's hands do not touch the neoplasm, therefore the risk of infection is minimal.
- Painless. The procedure is under anesthesia, so the patient does not feel anything.
- No bleeding. During surgery, the laser coagulates( clogs) the blood vessels, preventing bleeding.
- Speed. Laser removal is faster approximately 2-4 times than surgical removal.
- Efficiency. Laser action reduces the risk of complications.
- The facilitated rehabilitation period. Because local anesthesia is used, the patient can go home the same day.
During the procedure, the doctor performs anesthesia, and then dissects the skin surrounding the lipoma. Then, with the help of clamps, spreads the dissected skin to the sides and with a surgical tool pulls the capsule with zhirovik up. After this, the same laser, which is being dissected, the surgeon removes the lipoma. Complete the operation by sewing the wound with a cosmetic suture.
Despite the safety of laser removal, the procedure has contraindications:
- epilepsy;
- infectious diseases in the acute stage;
- heart disease and circulatory system;
- age to 18 years;
- herpes;
Before the operation it is necessary to consult a doctor and undergo an appropriate examination.
Reviews
Testimonials show that was the most effective and non-lethal method to become a radio wave:
I removed the lipoma on my head at the radio wave surgery clinic. I must say that the doctors also got good: the operation went off quickly, on the same day I went to work. The wound was very small, very well healed. It's been 2 years already, more lipoma did not appear and did not bother.
The second most popular method for patients is laser removal. Among the merits of the procedure patients note its painlessness and speed:
Literally, a month ago, removed the lipoma from the hand with a laser. I was afraid that I would appear again, because the operation was very fast and without blood almost. It's good that I made a mistake, because I have no more side-effects, no new limes.
The surgical method, although is effective by results, but uses less love from patients, because it leaves a cosmetic defect:
I removed the lipoma more than 8 years ago, then there was no talk of any lasers. The operation went well, but the scar on his head remained until now, the hair on it does not grow. Later I removed the lipoma from my leg, but already with a laser. In comparison, laser removal was much more pleasant.
Price
The cost of removing the lipoma depends on the category of operation, the location of the clinic, and also the city.
Method name | Average cost per category ( rubles) | Average price for the 4th category ( rubles) |
Radio wave | 1500 | 10000 |
Operating | 3000 | to 5000 |
Laser | 2200 | 11000 |
Complications after operation
Although the operation is performed under sterile conditions, it can give complications such as:
- edema;
- infection of the wound;
- hematoma;
- accumulation of fluid in the cavity( gray);
- loss of sensitivity in place;
- keloid scars;
Infection can be accompanied by fever and individual symptoms: headaches, seizures and others.
In many ways, the emergence of side effects depends on the experience of the doctor. Therefore, it is important to trust yourself in the hands of a specialist. However, even this does not give a 100% guarantee, because it is impossible to predict how the body will react to the removal of the lipoma.
How to remove swelling after removing the wen?
Edema after removal is a rare phenomenon that usually occurs after surgery on a large tumor that affects the vessels.
After the removal of such a tumor, there remains a cavity, which initially is filled with water. Over time, it will pass, but first you will have to take steps to eliminate edema:
- do pressure bandages with chlorhexidine;
- applying cold;
Video with an operation to remove the lipoma near the eye: