Papillomas are a most common skin problem which motivates patients to seek medical help.
These growths are located on the neck, face, extremities, in the axillary region.
Papilloma is in most cases a benign formation of viral etymology. It outwardly resembles a papilla on a thin “leg”. The color of the built-up edge usually coincides with the shade of the epithelium. A characteristic feature of a papilloma is its moderate growth.
The cause of papillomatosis is the infection of HPV (human papillomavirus). Penetrating into the human body, papillomavirus is embedded in the DNA of the epithelial cells, provoking their proliferation.
There are two ways of contracting HPV:
- Contact (direct contact with the problem area);
- Household (sharing individual hygiene products).
Despite the fact that in most cases the papilloma is an exclusively cosmetic problem, it can cause a lot of trouble to its “owner”, especially in case of inflammation, trauma, sprawl or attachment of a secondary infection.
Which doctor treats papillomas?
After an unwanted build-up is detected on the body, a question appears as whom to contact for advice? Whether a surgeon or dermatologist removes papillomas? How to start the treatment?
It is best to contact a dermatologist. He will examine the neoplasm, prescribe additional studies, give an opinion about the need for conservative or radical treatment.
If a dermatologist advises to resort to radical therapy, he will redirect the patient to a surgeon.
Usually the surgeon suggests several methods of removing the built-up edge:
- Laser destruction;
- Surgical excision.
Surgery is prescribed in the case of:
- Suspicions about potential degeneration of the lesion into an oncological tumor;
- Spreading of papillomas;
- Negative results of radiosurgical, laser or cryodestructive method.
Despite the fact that surgical removal of outgrowths is one of the oldest methods, its affordable cost and high efficiency make its application today highly successful. When there is risk of malignancy, excision with a scalpel becomes a chance for the patient to recover, as it prevents the transformation of neoplastic cells into a cancerous tumor.
Surgery for the removal of papillomas: performance and rehabilitation
The operation includes several stages:
1. Before removing the tumor, the operating surgeon briefly explains to the patient the algorithm of his actions;
2. Anesthesia: local or general;
3. Neoplasm is cut along its border, capturing a small part of the healthy skin;
4. Sutures are applied to the location of the removed papilloma..
If malignancy is suspected, the excised tissue is sent for histological examination. Its results are known on the seventh-tenth day after the operation. With the confirmation of oncogenicity of the papilloma, in-patient treatment is carried out.
The question of how painful the surgical excision of the papilloma is, interests many patients. During the operation, you will not feel the pain, since it is performed under local anesthesia. General anesthesia is used in the following cases:
- Large sprawl;
- Locating the growths on the face or head;
- Handling of babies.
On the site of the cut papilloma, there is a small scar.
Indication for the operation
Choosing the surgical method of eliminating skin defects can be caused by:
- Sharp growth of a papilloma;
- Changed shape or color;
- Suspicion of malignant cells of the papilloma;
- Presence of contraindications to the use of another destructive technique.
All contra-indications of the surgical method of treating papillomas are relative, therefore the operation can be postponed for a while until their disappearance. Such contraindications include:
- Herpetic rashes;
- Acute respiratory disease;
- exacerbation of chronic diseases;
- Pregnancy and lactation.
The surgical method is characterized by the longest and most responsible period of rehabilitation among all methods of eliminating skin defects. Depending on the size, structure, location of the papilloma, the time of full recovery varies from several days to several weeks. Responsible attitude to postoperative care will save not only beauty, but also health. For this you need:
- Exclude prolonged exposure to the sun;
- Wait until the wound crust is spontaneously rejected;
- Do not wet the wound for seven days.
- Reduce the weight/activity load to prevent bleeding (when the surgery is done on the foot sole);
- Keep the skin area clean.
Read also: How much Is the removal of papillomas?
Pros and cons of the surgical method
When choosing the method of reducing unwanted growths, it is important to weigh all the advantages and disadvantages. It is possible to mention the following benefits of operative treatment of neoplasms:
- Effectiveness: one procedure is enough to remove the largest growth;
- Little chance of new rashes;
- Medical control is a guarantee of the safety of the manipulations;
- Low cost makes this method affordable for patients with different incomes;
The main disadvantage of surgical removal of papillomas is the formation of scars, the size of which corresponds to the size of the formation. Another disadvantage of this treatment is a long recovery period.
Positive feedback from patients is due to the choice of the clinic and the professional level of the clinic’s staff. Do not entrust the surgical operation to beauty salons or try to eliminate the papilloma by yourself. This can cause serious complications such as the transformation of the growth cells into malignant formation.