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Excisio completa - co to jest i jak przebiega ta procedura?
10 Examples of Excisional Surgeries
In addition to lumpectomy, appendectomy, and cholecystectomy, there are other excisional procedures used to diagnose or treat disease (or both).
Local, regional, or general anesthesia, or no anesthesia at all, may be used, depending on the procedure.
Excisional Skin Biopsy
In some cases, skin grafting or a skin flap is used to cover the wound. Other wounds are simply closed with stitches.
Tumor Craniotomy With Excision
This surgery involves the removal of a section of bone from the skull (craniotomy) to access the brain so that a tumor can be taken out. The tumor can be benign (non-cancerous) or malignant (cancerous).
Almost all tumor craniotomies are performed with a computerized navigation technique known as stereotaxy . This improves the accuracy of the surgery and reduces the size of the incision needed to perform the excision.
Myxoma Excision
Surgical excision is the only form of treatment for myxomas. Because myomas are very fragile and vulnerable to rupture, their removal usually requires open surgery to provide clearer access to the chambers of the heart.
Excision of Venous Malformations
The surgical treatment of venous malformation involves the removal of abnormal veins as well as some of the tissues surrounding them.
Sclerotherapy, the other treatment approach, involves the injection of chemicals into veins to make them shrink. It is often used beforehand to reduce bleeding and make the malformation easier to remove.
Excision of Bone Tumors
This surgical procedure is used not only to remove malignant bone tumors but also benign tumors that can become malignant. Removing the tumor helps reduce the risk of a bone fracture.
If cancer is present, the surgical removal of the tumor is often followed by radiation and/or chemotherapy to prevent the spread of cancer and help preserve the limb.
What Is a Surgical Excision?
As opposed to taking a sample of tissue or a body part, excision describes the removal of the entire portion of a structure. For instance, a lumpectomy is an excisional biopsy that removes an entire breast tumor. This is different than a core biopsy, which takes just a part of the lump.
Surgeries used to remove a specific part of the body often end with the suffix "-ectomy." An appendectomy (used to remove the appendix) and cholecystectomy (gallbladder removal) are two such examples.
This article describes 10 different excisional procedures used to diagnose or treat medical conditions. It also lists the different healthcare providers who routinely perform excisional surgeries.
Com es realitza?
• En la majoria dels casos es realitzarà una excisió de la lesió, deixant una cicatriu pràcticament imperceptible.
Aquesta intervenció quirúrgica es sol realitzar sota anestèsia local i en règim ambulatori (és a dir, no sol ser necessari ingrés hospitalari).
El temps de la intervenció és de 15 a 20 minuts.
Es pot incorporar a la vida quotidiana de forma immediata.
• En lesions malignes, l’obtenció de marges lliures de cèl•lules neoplàsiques pot deixar un defecte cutani important que, per a la seva adequada cobertura, requereixi tècniques de cirurgia plàstica reconstructiva (penjalls locals o empelts cutanis).
Aquesta intervenció quirúrgica es sol realitzar sota anestèsia local amb sedació i en règim ambulatori (és a dir no sol ser necessari ingrés hospitalari).
El temps de la intervenció és de 30 a 40 minuts.
En tota cirurgia de lesions cutànies, la peça obtinguda és enviada a un laboratori d’anatomia patològica per al seu anàlisi.
Haurà de mantenir l’apòsit mentre no se li retiri la sutura, aproximadament 7-15 dies depenent de la localització. Durant el primer any haurà d’utilitzar protecció solar alta a les cicatrius per evitar una hiperpigmentació de les mateixes.