sebaceous cyst excision procedure chapter 1(E) скачать в хорошем качестве

sebaceous cyst excision procedure chapter 1(E)

This video is educational purpose for under graduate and post graduate medical students. based on SRB'S manual general surgery book am teaching . i am DR. Basker Mch plastic surgery working in TVMCH ,TIRUNELVELI, TAMILNADU, INDIA. Dr.Basker's view teaching for MBBS and MS and NURSING students in tamil lipoma excision procedure ;   • lipoma excision procedure   Procedure Description 1. The skin overlying the site is cleansed with povidone-iodine solution. The skin overlying the cyst and the tissue to the sides and beneath the cyst are anesthetized with 2 percent lidocaine with epinephrine. 2. A fenestrated drape can be placed on the patient, with the lesion beneath the fenestration. A no. 11 blade is used to create a stab incision into the center of the cyst. A small-tipped hemostat is placed into the cyst, the tips gently opened and compression applied to allow the cyst con tents to pass through the opening Incision in the top of a cyst with a no. 11 blade. The cyst is squeezed to remove all of the cyst contents. A hemostat can be placed in the incision and the blades opened while the cyst is squeezed to facilitate removal of the cyst contents. 3. The hemostat can be removed, and both thumbs are used to express the cyst contents. Gauze or a splatter shield can be used to shield the physician from splatter. The hemostat can be reinserted, if needed, to assist with passage of the sebaceous material. 4. Following vigorous and complete expression, the hemostat is reintroduced into the cyst cavity, and the capsule at the base of the wound is grasped and elevated. An attempt should be made to gently remove the entire sac through the small opening . The sac may break, and several pieces may need to be removed After vigorous squeezing, removing the cyst contents and loosening the cyst wall from the surrounding tissue, a hemostat is placed in the wound, and the entire cyst wall is gently delivered through the small incision. 5. At the end of the procedure, the wound should be inspected to ensure that all of the cyst wall has been removed. The cyst wall can be pieced together to provide additional confirmation of complete removal. 6. Direct pressure is applied to the site with gauze. Antibiotic ointment is applied and gauze is taped over the site. The patient is encouraged to hold direct pressure (using gauze) to the site for one to two hours following the procedure. Most small incisions do not require suture closure.