SURGICAL PROCEDURES UNDER LOCAL ANESTHESIA

Types of Surgery

SURGICAL PROCEDURES OF SKIN AND ADIPOSE TISSUE UNDER LOCAL ANESTHESIA

Surgery involving the skin and adipose tissue under local anesthesia is commonly performed for procedures such as lipoma removal, excision of skin lesions or tumors.

Benign skin conditions

  • Moles: While most moles are harmless, some may need to be surgically removed if they exhibit suspicious features or if they are causing symptoms such as itching, bleeding, or changes in size, shape, or color
  • Skin tags
  • Actinic Keratoses: These are precancerous lesions that commonly occur on sun-exposed areas of the skin
  • Hemangiomas
Lipoma

Noncancerous growths of fatty tissue that typically feel soft and rubbery. They are usually painless but may grow larger over time, causing discomfort or affecting appearance.

Sebaceous cyst

Epidermoid cysts and sebaceous cysts are benign growths filled with keratin or oily material. They can develop anywhere on the body and may become inflamed or infected, leading to pain and swelling

Abscess

A skin abscess is a localized collection of pus within the skin caused by a bacterial infection.The most common surgical procedure for treating a skin abscess is incision and drainage (I&D).This allows the pus to drain out, relieving pressure and promoting healing.

Ingrown toenail

 An ingrown toenail occurs when the edge or corner of a toenail grows into the surrounding skin instead of straight out. This can cause pain, swelling, redness, and in some cases, infection. Treatment for ingrown toenails depends on the severity of the condition. Mild cases may be managed conservatively.In more severe cases or if the ingrown toenail becomes infected, surgical removal of the ingrown portion of the nail is performed under local anesthesia.

Decubitus ulcer

Also known as a pressure ulcer or bed sore, is a localized injury to the skin and/or underlying tissue, usually over a bony prominence, resulting from prolonged pressure or pressure in combination with shear and/or friction. These ulcers commonly develop in individuals who are immobile or have limited mobility and spend long periods of time in one position. In severe cases, surgical interventions such as debridement or skin grafting may be necessary.  

Malignant skin conditions

The most common types of skin cancer are the following:

  • Basal Cell Carcinoma (BCC): is the most common type of skin cancer, typically developing on areas of the skin that are exposed to the sun. While it rarely spreads to other parts of the body, BCC can cause local tissue destruction if left untreated. Surgical excision is the primary treatment for BCC.
  • Squamous Cell Carcinoma (SCC): SCC is the second most common type of skin cancer and often develops in areas exposed to the sun, as well as on scars, chronic wounds, or areas of inflammation. Like BCC, surgical excision is the primary treatment for SCC, and it can typically be performed under local anesthesia.
  • Melanoma: is a less common but more aggressive type of skin cancer that develops from melanocytes, the cells that produce pigment in the skin. Surgical removal of the melanoma, along with a margin of healthy tissue, is the primary treatment for early-stage melanoma. This procedure, known as wide local excision, may be performed under local anesthesia. In cases of more advanced melanoma, additional treatments such as lymph node dissection or systemic therapy may be necessary.