CO 2 Laser Punch‐Assisted Minimally Invasive Surgery for Sebaceous Cysts
| Autor: | Li-Hong Wu, Qing-Qing Fang, Zheng-Cai Wang, Wei-Qiang Tan, Wan-Yi Zhao |
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| Rok vydání: | 2020 |
| Předmět: |
Hemostat
medicine.medical_specialty Co2 laser business.industry Dermatology medicine.disease 01 natural sciences Surgery 010309 optics 030207 dermatology & venereal diseases 03 medical and health sciences Sebaceous Cyst 0302 clinical medicine Patient satisfaction Co 2 laser parasitic diseases 0103 physical sciences Invasive surgery medicine Operative time Cyst business |
| Zdroj: | Lasers in Surgery and Medicine. 52:743-746 |
| ISSN: | 1096-9101 0196-8092 |
| DOI: | 10.1002/lsm.23216 |
| Popis: | Background and objectives Traditional surgical excision for a sebaceous cyst can completely eradicate the cyst, but the surgical processes are relatively complicated and may cause obvious scarring. Some patients are reluctant to choose this method because of the inconvenient procedures and the risk of conspicuous scarring, especially in esthetically important areas. We present a simple treatment method to prevent formation of a conspicuous scar. Study design/materials and methods First, the cyst wall was pre-separated from the surrounding tissues by injecting a large volume of anesthetic around the cyst. Then, the cyst contents were removed through a small hole created by using a CO2 laser on the skin surface, which adhered closely to the cyst. Finally, the cyst wall was removed using a hemostat that clamps it at the base. Between August 2017 and July 2019, 32 patients with 33 sebaceous cysts (12 infected and 21 uninfected) were treated by this method to remove the cyst contents and cyst wall. Mean operative time, complications, and patient satisfaction were evaluated. Results All patients were satisfied with the good esthetic outcome and the simplicity of the surgical procedure. Only two of the 33 cysts (6.0%) recurred 2 and 3 months postoperatively, including 0 of 21 uninfected cysts (0.0%) and 2 of 12 infected cysts (16.7%). No complications were found during the follow-up period. The mean operation time was 13 ± 2.1 minutes. Conclusions CO2 laser punch-assisted surgery was associated with minimal scarring and high patient satisfaction. With acceptable recurrence rates, it is a convenient, effective and minimally-invasive treatment option for sebaceous cysts. Lasers Surg. Med. © 2020 Wiley Periodicals, Inc. |
| Databáze: | OpenAIRE |
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