Sometimes looking in the mirror you notice any colored spot, swelling, nodule, at the level of the skin of the face or body. In most cases these tumors are benign and are represented by nevi, seborrheic keratoses, warts, cysts, lipomas, hemangiomas, but even more rarely behind them can hide tumors such as basal cell carcinoma, thorn phone, even up to melanomas , merkelomi and sarcomas whose behavior is often very insidious.
Given the wide variability of the nature of the injury, it is often appropriate to a depth from the diagnostic point of view. When the clinical suspicion is directed towards malignancy surgical treatment it is necessary, which, in addition to ensuring clinical cure is also the only medium that allows us to reach a definitive diagnosis through the final histopathological analysis of the resected specimen.
In the case of lesions present in aesthetically visible regions, or whose removal may create problems of coverage of the residual substance loss, only the Plastic Surgeon has the surgical skills able to overcome such problems.
Dr. Bold, assisted by a multi-specialized team guarantees that the treatment offered is the most appropriate for each different type of injury.
The center in which in fact, being level III, provides for privileged relations specialist advice we can count on a network of professionals with specific skills and orchestrated in a strict, a functional network which provides dermatologists, anesthesiologists, oncologists, radiologists, radiotherapists, pathologists, biologists, nutritionists, physiatrists and physical therapists, psychologists.
Numerous studies on the management of cutaneous and subcutaneous tumors have amply demonstrated that the percentage of cures is higher when care is entrusted to a specialized service that allows a modern, holistic and multidisciplinary approach to the same. The tumors of the soft tissues, on the other hand, represent a multifactorial disease, often epiphenomenon of underlying systemic diseases, sometimes neglected or underestimated.
Preparation for surgery
If the intervention is needed, dr. Emphasis will arrange a visit with the anesthesiologist and preoperative tests required to deal with security and serenity surgery. They must report the current medical treatments, possible allergies to medications, the presence of a known or suspected pregnancy.
At least one week before the operation should be suspended the intake of medicines containing acetyl-salicylic acid (Aspirin) and the smoke: some studies have shown that the incidence of complications in the wound healing process is 10 times higher in those who smokes.
The day before the surgery is preferable to perform a thorough cleansing of the incision site.
Do not wear metal objects on the day or nail polish on the hands and feet nails. Show up the day of the face without makeup.
It usually performs local anesthesia practiced by the surgeon. When necessary the anesthesiologist performs a mild sedation so that you get the nice effect of not even remember the surgery.
The intervention of the tumor excision is performed with a scalpel and then using a suture usually intradermal and sterile plasters so you do not even need to remove the stitches.
In cases of larger tumors it may be necessary to mobilize the tissues from a nearby region of the body.
The removal is carried out so that the only by the possibility of definitive diagnosis by sending the pathologist specialist for histopathological examination.
Pain: more than a pain you will experience a nuisance that, when needed, is well controlled with standard analgesics.
The onset of severe pain, sudden and persistent could mean the development of a hematoma or infection, so the surgeon should be informed promptly.
If it had been applied to external stitches, they will be removed after a few days.
Sometimes they may appear bruising (bruises) in the treated area. They last 7-10 days and can be disguised with makeup.
It is recommended not to wet the dressing and do not expose it to sunlight or heat sources. For a couple of weeks we should not play sports and demanding physical exercises; it is rather advisable to go for walks outdoors. Avoid exposure to the sun and / or tanning beds for at least six months or, if necessary, protect yourself with total protection creams to prevent diseases of healing
You may occur COMPLICATIONS GENERAL, present in all types of surgery such as:
• A modest bleeding wound is normal. If important entities may require surgical reintervention.
• The infection usually manifests with pain, skin rash and swelling, accompanied by fever or not, and is treated with antibiotics, local dressings and only rarely requires surgery. It may result in the loss of tissue resulting in formation of unsightly scars.
• The formation of haematomas (collections of blood in depth), although very rare, is an occurrence that may occur during the postoperative course and is manifested by the rapid onset of swelling or severe pain and can be facilitated by increases in blood pressure caused by intense physical exertion. Sometimes hematomas need to be suctioned or evacuated via the re-opening of a section of the surgical wound.
• The wound dehiscence or her spontaneous reopening is a fairly common complication particularly in diabetic patients and smokers. In most cases it tends to heal with local dressings and only rarely is needed a new suture.
Among COMPLICATIONS SPECIFICATIONS include:
• Nerve damage (rare). Related clinical manifestations are generally temporary.
• Chronic pain (very rare).
• Allergies. There are reports of allergic reactions to patches, sutures and topical creams. Generally they are of little clinical significance. More serious systemic reactions, generally due to local anesthetics or drugs taken in the peri-operative period. Serious reactions may require additional medical treatment.
• “Dog Ears”. Consist of small folds of skin at one end or both of the wound. Fall within the technical need to contain the length of the wound. They may disappear in the months following, or more rarely require a little tweaking of a few millimeters lengthening the final scar.
• incomplete excision. It is possible that an occurrence is highlighted histopathological examination, according to which they will decide whether or not to expand margins.
• Local recurrence. Even after removal well executed it is possible that a malignant tumor may recur.
• skin necrosis. rare, but possible especially in the more complex reconstructive procedures. It is due to a vascular suffering of the covering flap or skin graft to engraftment failure, occurs more frequently in patients with diabetes and smoking. You sometimes need a reparative surgery.
Dr. Emphasis will be made to bring down the scars in the natural folds of the body as much as possible trying to cover up. Sometimes because of post-operative complications or excessive skin reactivity of some patients the scars may become reddened, raised, widened, thus being of poor quality. In such cases they can be treated with outpatient medical treatment or if necessary with a revision surgery of distance scar one year after.