Skin tumors do not add joy to anyone. They are evidence of impaired health, cause severe physical and psychological discomfort, aesthetic problems. Particularly unpleasant are the growths that appear on parts of the body that are open to prying eyes: face, neck, hands. In some cases, the presence of a wart on the body can cause the subsequent development of a cancerous tumor.
Hardware Removal of Warts
The causative agent of such overgrowths of the epithelial integument is the papilloma virus, an extremely contagious infection, the majority of the population is susceptible to it. It is difficult to protect from its penetration into the body. The virus is contagious, penetrates the skin and mucous tissues through the smallest cracks, and is stored on household items and personal hygiene products for a long time. Most carriers are unaware of its presence until they notice a growing wart.
Sometimes growths dry out and fall off on their own, but these are quite rare cases. Most dermatologists are advised to get rid of the formations and do it in a clinical setting.
The choice of treatment depends on the type of papillomas, their number, places of localization, size. Among the methods used:
- electrocoagulation – cauterization by electric current;
- cryodestruction – removal of warts with ultra-low temperature liquid nitrogen;
- surgical excision scalpel – used for gigantic neoplasms or suspected malignant degeneration;
- laser deletion warts – the destruction of wart tissue through strong heating.
Laser burning, or rather vaporization, as the tissues evaporate during exposure, is called the gold standard for surgical treatment of papillomatosis. The method relates to high-tech, is not associated with trauma to adjacent tissues, has a low risk of complications.
For patients, the main advantages are the painlessness of laser treatment of warts, a short recovery period and the practical absence of cosmetic defects after exposure.
You don’t need to go to the hospital for treatment. After the procedure, the patient immediately goes home.
The laser is fundamentally different from other types of hardware treatment: it does not directly touch tissues, does not involve contact with the surgeon's hands, so there is no risk of secondary infection. The procedure itself lasts only a few minutes, during which the beam destroys the wart together with the base to a predetermined depth, leaving healthy cells unharmed.
In this case, there is no need for repeated exposure to the wart. There is no blood in the process of growth removal: a high-temperature effect coagulates capillaries. Protein instantly coagulates, forming a clean, dry surface.
Electrocautery can be considered a precursor to laser treatment of neoplasms – one of the oldest methods of hardware removal of growths. A thin metal loop is put on the wart, to which an electric current is supplied. The metal, heated to 800 ° C, plays the role of a knife that cuts off the formation and prevents bleeding.
Comparing which of the methods is optimal: electrocoagulation or a laser, you need to remember that the accuracy of cutting the loop is quite approximate, the procedure itself is quite painful and can only be used to remove small formations. In some cases, for example, when it is necessary to obtain a sample of biomaterial for histological examination, this method is preferable.
Laser burning of warts is allowed for all types of formations, including acute genital warts, prone to repeated relapses and proliferation. An exception are papillomas with signs of malignant degeneration.
Assign laser deletion at of the following types of neoplasms:
- vulgar or simple – hemispherical dense formations, can be located singly or multiplely on the arms, legs, back, chest, side surfaces of the body;
- filiform – elongated mobile growths on thin legs, characteristic of the axillary regions, popliteal hollows, neck;
- plantar warts – hard keratinized formations that grow into the deeper layers of the skin;
- pointed papillomas – dangerous proliferation of a papillary shape, localized in the zone of the external genitalia, perianal region.
The wound healing period after laser removal is no more than 15 days. Postoperative scars and cosmetic defects are extremely rare.
When choosing a procedure, most people with papillomatosis are interested in whether it is painful to remove warts with a laser. According to patients who have gone through this procedure, the process does not cause pain. Before manipulation, a dose of local anesthetic is injected into the surrounding tissues or the skin is treated with a special cream and the area of the wart is no longer sensitive for 30-40 minutes.
The patient sits down or lies on the couch. When a growth burns out, the epithelial cells are destroyed without causing pain. Slight discomfort or tingling, more pronounced when removing hard plantar warts, is likely. The procedure can be prescribed to patients of all age categories, including preschool children, women during pregnancy.
The laser can be used to remove warts on the ciliary edges of the eyelids, vocal cords, mucous membranes of the genitals.
For the procedure, two types of hardware installations are used:
- Carbodioxide laser – causes instant coagulation of protein compounds, is used to excrete small formations.
- Erbium (cold) laser – evaporates epithelial tissues in layers, works more slowly, is used to eliminate large warts or formations located on the mucous membranes.
During the operation, the specialist sets the required depth and diameter of the processed areas with almost filigree accuracy. Small formations are completely evaporated in just a few minutes, large warts – reaching 1 cm or more, are processed for 15-20 minutes. Together with the burning out of the growth, the destruction of viral particles, pathogenic bacteria occurs, a clean, disinfected surface remains. At the same time, damaged edges of blood vessels are sealed. With multiple rashes, a second course of treatment can be prescribed.
Depending on the depth of rooting of the evaporated wart, a small pink hole remains in its place. It is treated with an antiseptic solution and closed with a breathable dressing. For some time, a dry brown crust – a scab – forms on its surface. It protects the wound from the entry of pathogenic microbes, creating conditions for the regeneration of skin cells.
Despite the low invasiveness of the method, a low risk of developing consequences, contraindications to laser removal of warts still exist.
TO him relate:
- skin infectious diseases: herpes zoster, herpetic eruptions, furunculosis;
- period of exacerbation of chronic diseases;
- acute respiratory diseases and the recovery period after them;
- fever, fever;
- malignant processes and tumors of internal organs, suspected degeneration of the wart;
- systemic diseases: dysfunctions of the thyroid gland, pituitary gland, diabetes mellitus;
- bleeding disorders;
- cardiovascular pathology;
- renal, hepatic, or severe pulmonary failure.
Laser wart removal effects
With a high sensitivity of the skin, as a result of evaporation of deeply rooted wart growths after laser irradiation, redness and the formation of a small edema surrounding the treated areas are likely. They disappear within a few days after surgery. Occasionally, small transparent blisters appear on the burnt surface.
Special treatment of the wound after laser wart removal is usually not required, but it is useful to follow some precautions. In the early days, you can’t touch it with your hands, expose it to the sun, try to cover it with foundation or other cosmetics. It is also impossible to seal tightly with a plaster – this will prevent the formation of a scab and create conditions for soaking and infection of the surface.
It is possible to wet the wound surface in 2-3 days. You should not soap the wound, rub with a washcloth or scrubs, comb the place of surgery or try to tear off the scab ahead of time. For two months you can not go to saunas, solariums or baths.
If the crust on the surface of the wound is accidentally injured, it is not necessary to peel it. The separated edge must be moistened with a solution of furatsilina and carefully cut with nail scissors.
How long the wound heals after laser removal of the wart depends on the depth, size of the resulting fossa, the presence of the necessary vitamins and minerals in the body, and the literacy of the care used. Usually, the scab is rejected after 5-8 days, but, depending on the depth of the wound, healing can last from 2 to 4 weeks.
After desquamation of the crust on the site of the former wart, tender young skin with a small notch is found. The scar differs in color from the rest of the epidermis background. It must be protected from ultraviolet rays, rubbing clothes and from injuries. Before going outside, it is necessary to apply sunscreen, otherwise there is a risk of pigmentation of the operated area.
If you plan a long exposure to the sun, so as not to overheat the lesion, it is better to cover it with clothes, a scarf or a light bandage.
Care after removing warts
How to care for a wound after laser removal of a large wart, the doctor says. A deep skin defect after falling off the crust requires the use of agents that accelerate tissue regeneration. Within 10-14 days, the application of hydrocortisone ointment, funds containing fruit acids, gels Kontraktubeks, Mediderm is prescribed.
Their use prevents the formation of keloid scars, slows down the formation of connective tissue, stimulates the synthesis of collagen fibers and elastin, softens coarsened areas and gradually smooths out irregularities. Use drugs as soon as possible. The scar should not be covered with decorative cosmetics.
Alignment of the structure, relief and skin color of the former wound occurs after 3-4 months.
If the wound does not heal for a long time, become inflamed, gets wet or itches, it is likely that an infection has penetrated into it. It is necessary to consult a dermatologist. If there are signs of inflammation, they are prescribed washing with antiseptics. At home, you can use an aqueous solution of potassium permanganate, chlorhexidine, miramistin.
Long-term healing is likely with a deficiency of vitamins B, A, E, ascorbic acid in the body. You should take a course of these elements at the same time as taking immunomodulators. It is useful to increase the proportion of animal proteins in the diet.
As a preventive measure, a course of antiviral therapy is prescribed. At the site of removal, overgrowth after removal by a laser is extremely rare. Relapse cases, according to users of the procedure, occur after burning out the plantar warts, since in the foot area, HPV activity can be more pronounced, associated with increased sweating, skin injury, and fungal infection.
Liquid nitrogen or laser?
Comparing the better to remove the warts: laser or nitrogen, you need to pay attention to the features of both operations:
- Cryodestruction is based on exposure to a chemical that freezes the growth, the wart is not rejected immediately, but after a few days, the laser removes pathologically altered tissues immediately;
- You can use the cryodestruction method only on body parts that are not very sensitive, the laser acts carefully, they can burn warts on the face and genius;
- After freezing, a rather marked trace remains on the site of the former wart, healing takes at least a month, after laser treatment, the recovery period lasts about a week;
- The probability of recurrent growth of the wart at the place of its removal with liquid nitrogen remains, since the substance is unable to completely eliminate the viral particles, while the laser destroys all pathogenic microflora.
How much is laser removal
The only, but quite significant drawback of laser wart removal compared to cryodestruction is its high cost. The price for removing papillomas and moles with a laser depends on the region in which the clinic is located, the qualifications of specialists, the equipment used and, on average, ranges from 250 to 3500 rubles. for one neoplasm.
Removing large warts and plantar growths is more expensive. In the case of multiple warts, some discount is usually offered. The procedure is carried out by private clinics, dermatovenerological dispensaries. In Moscow and other large cities, the cost of laser treatment is an order of magnitude higher.