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Lipoma is defined as a benign growth of cells of the adipose tissue that can appear in any location of the human dead body , although is formed more frequently in the hypodermic layer of the dermis . Lipomatosis is the grouping of fatso deposits in various body regions and it is keep company by a hereditary component .
Do Lipomas Need To be Removed?
It usually farm slowly and feels like a painless flock , limited and nomadic under the skin . Lipomas can also be connect with other syndromes and have a more belligerent or malignant character and so they need to be removed .
Lipomas can be sort out into dissimilar morphological feature such as lipoma , angiolipoma , well - differentiate adipose tumor , andliposarcoma .
There are dissimilar sorting depending on its locating , depth ; for example mere adipose tumor , fibrolipomas , angiolipomas , fusiform cubicle lipomas , myelolipomas and pleomorphic adipose tumor .
For ambulatory surgical removal of a adipose tumor , the following indications must be suffer : painfulness , speedy growth , change of visual aspect , aesthetic alteration , suspicion of malignancy , patient ’s business concern in the absence of its aetiology . On the other hand , it is a contraindication to the operative extraction of a big adipose tumor or of compromised locating , since for rubber in these cases you should call them under ecumenical anesthesia and monitoring . Lipoma contagion can be a comparative contraindication , however , it is advisable to wait for the execution of an antibiotic prior to the operative option , so as to better delimit its dimension and thus prevent return .
The most common complication are a seroma , hematoma , dehiscence of the boundary , infection , hypertrophic scar , pigmentary alteration in the area , keloids , reverting , etc . In cases of diagnostic dubiousness with another potential pathology , a differential diagnosis will be carried out by a biopsy to confirm the diagnosis . The biopsy is do by taking a sample distribution by puncture - intake with a deep or thin needle , or by extirpating the wound by extirpation surgical routine , with previous local anesthesia and send off to the laboratory for histological written report . Due to the clinical manifestations , to the location of the tumor with respect to the well bounded ring tissue and meticulous palpation , it is not usually necessary to apply tomography test to dispatch the diagnosis .
How is The Procedure Performed to Remove Lipomas?
In the minor surgery way of the health center , with asepsis according to communications protocol , the skin is launder and disinfect .
The patient must be in the supine position and before ready a sterile field with a fenestrated cloth , the mass is palpated and the lesion is tick off with a dermographic pencil , then a solution of povidone - tincture of iodine 10 % with wide margins .
Doctors go on to local anaesthesia with two puncture at both death of the lipoma , with the help of a modification of plane to cover the whole expanse fence in the mountain . Once the area is put out with 2 % mepivacaine , the procedure has performed an dent on the fatty mass , deepening to the subcutaneous tissue .
give away the fat tissue to be take away , the tissues with the aid of the scalpel handle , using its proximal part ( blunt dissection ) , delimiting all the form of the dough separate the fibrous capsule of the other tissues , without injuring other tissues and avoiding sectioning blood vessel that may cause bruising , difficultness of visualization during the intercession or postsurgical complication . Next , the adipose tumor is clamped and is pulled , exerting subjection of the perilesional skin to favor extraction . This manoeuvre will be duplicate as many times as necessary until making sure to murder all the remains of fat tissue paper .
Regarding the postoperative period , it is prescribed oral treatment and local cold on the dressing ( it makes it difficult to get loaded or take off ) . The first limited review is at 72 hours later , where a local antiseptic is applied and it becomes to underwrite with an adhesive non - stick fertilization .
The patient role will preserve to utilize a local antiseptic daily at base until the revue on the 10th day for the withdrawal of the coming point once solve dermal unity .
Conclusion
A lipoma is a appeal of well - defined fat in a body region and will depend on its localization to be causing discomfort , annoying , pain and may even produce alterations that postulate an aesthetical or mechanical job . As with any other surgical subroutine , doctors choose to interpose with a patient with this condition only if they comply with the said criteria .
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