Electrocoagulation of papillomas: important points

27 May 2022, 18:03 | Health
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Electrocoagulation of papillomas is a method of removing skin neoplasms using electric current, which has been widely used for several decades.. The service is provided in many public and private clinics.. The main advantages of this method of destruction, according to doctors and patients, are high efficiency and safety, as well as affordable cost, according to Pannochka, an online publication for girls and women from 14 to 35 years old.. net Electrocoagulation is an effective and affordable method for removing skin neoplasmsPhysical methods for removing wartsThere are several main physical methods for destroying warts:.

Method.

Description.

Electrocoagulation.

Neoplasms are removed in layers under the influence of electric current. At the site of the removed wart, a crust forms, which eventually disappears..

Cryodestruction.

Pathological formations are frozen, for this liquid nitrogen or carbon dioxide is used.. Exposure time - from 1 to 5 minutes. If necessary, repeated cryotherapy is performed after 7-10 days.

Laser destruction.

A feature of this method is the layer-by-layer destruction of the wart under the influence of the light guide by the contact method.. Depending on the size of the growth, the exposure time varies from 2–5 seconds to 2–3 minutes..

Radiosurgical destruction.

The method is based on the generation of an electromagnetic wave of different frequencies, which leads to a slight heating at the point of contact of the working electrode.. Dissection or tissue rupture occurs without coagulation or mechanical force.

Any of these methods allows you to get rid of only the external manifestations of the pathology, but does not cure HPV.

The device and principle of operation of the electrocoagulator For electrocoagulation, special medical equipment is used - an electrocoagulator that produces high-frequency current.

The main part of the design is the body, on which the switches are located, allowing you to adjust the operation of the coagulator. The electrode is connected by a wire attached to the body. The working part of the device is precisely the electrode. It can have a different shape, which allows you to perform various functions..

In most cases, an electrode in the form of tweezers or a needle is used.. The high-frequency current, when the electrode contacts the tissue, causes strong heating, as a result of which the tissue in the affected area is cauterized.

The electrocoagulator has a disinfecting effect and can destroy pathogenic microorganisms. In addition to removing papillomas, this device is used in the following areas of medicine:.

dermatology;

general, vascular and endoscopic surgery;

neurosurgery;

gynecology;

otolaryngology;

cardiac and thoracic surgery;

orthopedics and traumatology;

urology;

Maxillofacial Surgery.

How the procedure works No special preparation for the destruction of warts is required, the operation is usually performed on the day of visiting a doctor. At one time, with an electric knife, you can remove several medium-sized papillomas at once. With a large number of neoplasms, several electrocoagulations may be required (daily or every other day).

The coagulator electrode heats up to approx. 80 °C. This temperature is sufficient to remove pathological tissues. The destruction of the build-up occurs when the electrode tip comes into contact with the surface of the formation. The choice of nozzle is determined by the doctor.

The procedure usually takes from a few seconds to 1-2 minutes.. A dark crust remains at the site of the destruction of the growth, the skin surrounding it is treated with an antiseptic solution. At the end of the procedure, the patient can go home immediately..

Anesthesia methods For small single papillomas, anesthesia is not required. Pain that occurs within a few seconds is usually easily tolerated by patients, and the use of anesthesia is considered unjustified..

If several lesions need to be removed or if they are large, local anesthesia is performed using a 2% solution of lidocaine or epinephrine hydrochloride / articaine hydrochloride.

Recovery period Within a few days, the wound area must be treated with an antiseptic solution - any alcohol lotion, potassium permanganate solution or Chlorhexidine. It is strongly not recommended to break the crusts ahead of time, as this can lead to infection, as well as to the appearance of scars..

No special post-procedure care is required.. During this period, the affected area may hurt and / or itch, which is considered a variant of the norm..

To reduce the risk of recurrence, the doctor may prescribe a course of antiviral drugs..

Advantages and disadvantages of electrocoagulation The advantages of electrocoagulation are:.

safety and bloodlessness of the procedure with minimal tissue damage;

the ability to remove a wart on any part of the skin;

execution speed;

the possibility of using removed tissues for histological examination;

impact depth control.

Another important advantage is the affordable cost of the service..

The disadvantages include:.

risk of pitting and indentation in the skin;

long healing period (average 7–14 days).

During the procedure, the skin around the neoplasm is also subjected to electrocoagulation.. At the same time, according to patients, an unpleasant odor appears..

Contraindications Contraindications to the removal of warts with electric current are (the list can be expanded by the attending physician):.

the presence of a pacemaker;

suspicion of cancer;

exacerbation of chronic diseases;

poor blood clotting;

burdened history of allergic reactions to local anesthetics;

electric current intolerance;

mental illness.

For the treatment of plantar warts, it is preferable to choose another method. This is due to the high risk of scarring, which on the foot can cause significant discomfort..

It is not recommended to remove papillomas with an electrocoagulator in the summer. At high ambient temperatures, the healing process may slow down. There is also a possibility of scar formation at the site of the neoplasm (due to softening of the protective crust on the wound) and the appearance of pigmentation on the skin.

Consequences and possible complications Most often, pinkish spots remain in place of the crusts, which eventually turn white and acquire the same shade as the surrounding skin. If the skin formation was located at a great depth, areas of depigmented skin may remain whitish..

The reason for contacting a doctor is the appearance of severe soreness and redness in areas of the skin exposed to current..

What is the most effective treatment for papillomas? The reason for the appearance of papillomas is a virus, removing skin growths alone is often not enough. Therefore, it is recommended not to self-medicate and consult a doctor if papillomas appear.. He can prescribe immunomodulatory and antiviral drugs, as well as advise measures aimed at strengthening immunity..

There is no definite answer which of the methods of physical destruction of warts is the best - effective, painless, safe, affordable.. Each of them has its advantages and disadvantages, so the method of treatment should be chosen by the doctor individually, taking into account the presence of contraindications and the localization and area of \u200b\u200blesions.

In most cases, patients tolerate electrocoagulation well. The effectiveness of destructive therapy is 50-80%. The probability of recurrence after tissue regeneration remains very high - up to 30%. This applies to both surgical and chemical methods of their removal.. The highest risk is observed with plantar warts and neoplasms with periungual localization..

What are papillomas Papillomas are benign neoplasms. They are manifested by solitary or multiple formations, rising above the surface of the skin, rounded or irregular in shape..

The surface of growths with a wide base is covered with easily separated horny masses or villous (papilloma with hyperkeratosis, keratopapilloma). Another variant of neoplasms are grayish filamentous papillomas 2–4 mm long and 2 mm in diameter on a narrow base, which are usually localized on the skin of the trunk or face..

The cause of the disease is HPV (human papillomavirus). The diagnosis is established by a dermatologist on the basis of clinical data and the results of a histological examination..

Why neoplasms on the skin are dangerous When localized on the skin of open areas of the body, warts usually represent only a cosmetic defect.



However, if they are located on skin areas that are subject to frequent trauma (for example, damaged by a razor, rubbed with jewelry or clothing), they can spread quickly.. Another factor contributing to an increase in the number of elements is a decrease in general and local immunity..

A virus leads to the appearance of warts, so there is a risk of infection for others. Also, the danger is the likelihood of malignant degeneration of the growth.. Particular attention is required for formations that quickly increase in size, begin to bleed and hurt..

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Based on materials: pannochka.net



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