Excision of multiple benign soft tissue lesions (lipoma, epidermoid cyst, ganglion cyst)

Removal of multiple benign soft tissue lesions is a surgical procedure aimed at eliminating several lesions in a single session.

These include:

• lipomas (fatty tumors)
• atheromas (sebaceous cysts)
• hygromas (cystic formations near joints and tendons)

The procedure is performed to improve aesthetic appearance, relieve discomfort, and prevent potential complications.

Indications

• presence of multiple lesions
• increase in size
• pain or discomfort
• inflammation or infection (especially in atheromas)
• limitation of movement (in hygromas)
• aesthetic concerns
• suspicion of structural changes

Procedure / duration

The procedure is performed on an outpatient basis under local anesthesia.

During the procedure:

• precise incisions are made
• lesions are removed together with their capsule (to prevent recurrence)
• cosmetic sutures are applied

Duration:

• from 30 minutes to 1.5 hours - depending on the number, size, and location of the lesions

Contraindications

• acute infectious diseases
• inflammatory processes in the treatment area
• blood clotting disorders
• severe chronic conditions in a decompensated stage
• pregnancy (relative contraindication)

Recovery / limitations

After the procedure, it is recommended to:

• follow proper wound care as advised by the doctor
• limit physical activity for 5–10 days
• avoid sauna, hot baths, and swimming pools until healing
• remove sutures after 7–14 days
• avoid sun exposure

Recovery time:

• complete healing usually takes 2–3 weeks

Advantages

• removal of multiple lesions in one session
• minimally invasive approach
• fast recovery
• low risk of recurrence
• improved appearance and quality of life

Preparation

Before the procedure:

• consultation with a surgeon
• soft tissue ultrasound (if needed)
• blood tests and coagulation profile (if indicated)
• adjustment of medications affecting blood clotting (as advised by the doctor)

On the day of the procedure:

• proper hygiene of the treatment area

Sources:

https://pmc.ncbi.nlm.nih.gov/articles/PMC7774678/
https://int.livhospital.com/benign-neoplasm-treatment-7-proven-methods-to-remove-non-cancerous-tumors/
https://emedicine.medscape.com/article/1253816-treatment?form=fpf