How and why the excision is done during surgery.

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Excision means "to remove by surgery." This term is used to remove a mass with a scalpel, laser, or other instrument. During excision, the entire mass is removed completely, and not just part of it (as is done with a biopsy ).

Although the term "excision" is often used to describe a large number of procedures to remove tissue during surgery, the exact use of this term means removing the entire structure using some type of cutting instrument. A lumpectomy is an example of an excisional biopsy in which all growth is removed, compared to a biopsy in which only a sample of the tumor is taken for examination.

Although the term "excise duty" is often used to describe procedures used to treat cancer, it is not limited to cancer treatment. Tissue removal may be necessary for a number of reasons, and although cancer is certainly one of these reasons, there are many other medical problems that may require removal.

Surgical procedures used to remove a specific part of the body often end with the suffix "-ectomy." Two of these examples are appendectomy (used to remove the appendix) and cholecystectomy (removal of the gallbladder).

Examples of

In addition to the lumpectomy, appendectomy, and cholecystectomy mentioned above, there are other examples of surgical removal such as:

  • Excisional skin biopsy – Generally recommended for certain forms of skin cancer, including low- and high-risk basal cell carcinoma , low- and high-risk squamous cell carcinoma , Merkel cell carcinoma, and thin melanoma .
  • Trepanation of a tumor with excision : A surgical procedure that involves removing part of the bone from the skull (called a craniotomy ) to access the brain to remove a tumor, either benign or malignant.
  • Myxoma excision: Surgical removal of a benign heart tumor called a myxoma , which is commonly found in the left atrium of the heart and accounts for about 50% of all primary heart tumors.
  • Venous malformation removal – One of two treatment approaches (along with sclerotherapy ) used to remove damage to blood vessels that are present at birth but can grow over time and cause painful, hardened blood clots called phlebolitis.
  • Bone tumor removal: A surgical procedure used not only to remove malignant (malignant) bone tumors, but also benign tumors that can become cancerous and increase the risk of a pathological bone fracture .
  • Functional endoscopic sinus surgery with polypectomy : Minimally invasive procedure that uses a flexible endoscope to detect and remove a benign, benign mass, called a polyp , from the nasal passage when conservative treatments such as steroids do not provide relief.
  • Polypectomy Colonoscopy : A common procedure performed during an endoscopic examination of the colon, called a colonoscopy , in which benign polyps are proactively removed if they eventually become cancerous.
  • Endometrial excision: Complete removal of the overgrowth of uterine tissue in women with endometriosis .
  • Orchiectomy : Surgical removal of one or both testicles, called an orchiectomy , which is used primarily to treat testicular cancer or advanced prostate cancer.
  • Acromioclavicular Joint Excision: A surgical procedure used to remove an injured and painful acromioclavicular joint (ACJ) located at the junction of the clavicle (clavicle) and scapula (scapula) without destabilizing the shoulder.

Who performs splits

Surgical excision is usually performed by surgeons, some of whom are general surgeons who can perform procedures such as appendectomy and cholecystectomy, while others are specially trained and certified to treat specific organ systems.

Specialists include neurosurgeons who treat diseases of the brain and central nervous system, surgical oncologists who treat cancer, orthopedic surgeons who specialize in bone and joint disorders, and cardiothoracic surgeons who treat diseases of the heart, lungs, esophagus , and other organs of the chest. …

Surgical removal is often used to cure diseases. Even so, adjuvant therapy may be required to prevent recurrence of the disease and the involvement of other health professionals.

For example, a medical oncologist and / or a radiation oncologist can provide adjuvant cancer therapy after treatment by a surgeon oncologist. Rather, neoadjuvant therapy may be recommended before surgery to reduce swelling.

Procedures

Surgical excision can be done in a hospital or on an outpatient basis . These may include local, regional, or general anesthesia, or none at all. Some are performed as a traditional open surgery with a scalpel and a large incision, while others are performed laparoscopically with special instruments and small keyhole-shaped incisions.

The range of techniques used for surgical excision is wide and varies depending on the part of the body and the condition being treated. This includes:

  • Excisional skin biopsy : A procedure, also known as a wide local incision, involves the removal of the tumor and some of the normal tissue around it (called the clinical margin ). The size of the border depends on the thickness of the tumor. In some cases, a skin graft or skin graft is used to close the wound, while other wounds are simply closed with stitches (sutures).
  • Tumor trepanation with excision : Almost all tumor craniotomies are performed using a computerized navigation technique known as stereotaxy to improve the precision of the surgery and reduce the size of the incision. To remove the tumor, special scalpels and scissors, an aspirator (called an ultrasonic aspirator), and special microscopes are used.
  • Myxoma removal: Surgical removal is the only treatment for myxoma. Because fibroids are very fragile and vulnerable to rupture, their removal often requires open surgery to allow clearer access to the chambers of the heart.
  • Elimination of venous anomalies . Surgical removal of venous abnormalities involves the removal of the abnormal veins as well as some of the surrounding tissue. Sclerotherapy (in which chemicals are injected into a vein to make them shrink) is often used beforehand to reduce bleeding and make it easier to remove the malformation.
  • Bone tumor removal: Bone tumor removal is usually followed by radiation therapy and / or chemotherapy to prevent the cancer from spreading and help save the limb (called limb-saving surgery). A metal plate or bone graft can be used to stabilize and strengthen the bone.
  • Functional endoscopic sinus surgery with polypectomy : The procedure is usually performed under general anesthesia using a rigid endoscope. Once a polyp is found, forceps, sharp instruments, or a microdebrider (cylindrical blade) can quickly remove the growth.
  • Polypectomy Colonoscopy : A common procedure performed during an endoscopic examination of the colon, called a colonoscopy , in which benign polyps are proactively removed if they eventually become cancerous.
  • Endometrial excision : These procedures are often performed with robotic laparoscopic surgery to remove growths and scar tissue or destroy them with strong heat (called fulguration or cauterization). The goal of surgery is to leave as much tissue intact as possible to increase the chances of fertility after surgery.
  • Orchiectomy : An orchiectomy involves an incision just above the pubic region, after which the testicle and spermatic cord from the scrotum are carefully removed through the opening along with the entire tumor. The operations can be performed laparoscopically or as open surgery.
  • Acromioclavicular Joint Excision : Surgery is generally used when the joint is severely damaged by osteoarthritis or injury. Using an arthroscope and laparoscopic instruments, the surgeon first shaves and smooths the worn surfaces of the joint before cutting and removing part of the clavicle. The joint will remain stabilized by ligaments that overlap the cut bone.

Indications for removal can also vary, and some conditions require alternative approaches based on the stage of the disease , the size or location of the tumor, the person's overall health, and other factors.

For example, stage 4 cancers are often not removed because this may not improve survival compared to other forms of treatment, such as chemotherapy or immunotherapy .

Get the word of drug information

The word "split" may sound serious, but it doesn't have to be. Removal of a mole for cosmetic purposes is also a form of excision. After all, excision only indicates that a part of your body is being surgically removed.

If you are about to undergo a surgical excision, or any procedure that ends with an ectomy , ask your doctor why it is necessary, what it involves, and if there are other less invasive options that could be just as effective. After all, you are not questioning your doctor's judgment; you simply get all the information you need to make an informed decision.

This includes understanding what to do to prepare for surgery (such as losing weight or stopping certain medications), how long it will take to recover from surgery, and what lifestyle changes you should make after surgery to get the best results (such as changing your diet or quit smoking). By fully understanding the risks and benefits of surgery, you can make better decisions.

Frequently asked questions

What is the difference between excision and resection?

Resection means the surgical removal of an entire organ, a complete part of an organ (for example, the entire lobe of a lung), or a part of the body. As a result of the excision, a part of a part of the body or organ or an entire part of tissue is removed. For example, a mastectomy is the removal of the entire breast and a lumpectomy is the removal of a tumor from the breast.

How is excision surgery used to treat skin cancer?

Excision is often the only treatment needed for basal cell or squamous cell skin cancers and early melanomas . In addition to the tumor, a piece of healthy tissue is removed and examined to make sure that the entire tumor has been removed.

Can I get a tattoo cut?

Yes, you can remove a tattoo surgically. The skin of the mascara is cut from the surrounding skin and the wound is closed with stitches. The procedure requires local or possibly general anesthesia and usually leaves a surgical scar.

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