{"id":795,"date":"2010-12-02T16:57:39","date_gmt":"2010-12-02T16:57:39","guid":{"rendered":"https:\/\/cloverock.info\/mockosce23\/new\/excision-of-fibroma-and-naevi\/"},"modified":"2024-06-11T16:44:53","modified_gmt":"2024-06-11T15:44:53","slug":"excision-of-fibroma-and-naevi","status":"publish","type":"post","link":"https:\/\/www.qpercom.com\/sim\/index.php\/minor-surgery\/excision-of-benign-intracutaneous-tumors\/excision-of-fibroma-and-naevi\/","title":{"rendered":"Excision Of Fibroma And Naevi"},"content":{"rendered":"<hr \/>\n<h3><span style=\"color: #003366;\">Procedure<\/span><\/h3>\n<p><iframe loading=\"lazy\" src=\"https:\/\/player.vimeo.com\/video\/124602863?dnt=1&amp;app_id=122963\" width=\"640\" height=\"480\" frameborder=\"0\" allow=\"autoplay; fullscreen; picture-in-picture; clipboard-write\"><\/iframe><\/p>\n<hr \/>\n<ul>\n<li><span style=\"color: #003366;\">Mark the site of the incision on the skin <em><strong>[Figure 75]<\/strong><\/em>.<\/span><\/li>\n<li><span style=\"color: #003366;\">Apply <span style=\"color: #33cccc;\"><strong>iodine<\/strong><\/span> to the surgical area.<\/span><\/li>\n<li><span style=\"color: #003366;\">Cover with a <span style=\"color: #33cccc;\"><strong>sterile fenestrated drape<\/strong><\/span>.<\/span><\/li>\n<li><span style=\"color: #003366;\">Administer <span style=\"color: #33cccc;\"><strong>local anaesthesia<\/strong><\/span> by <span style=\"color: #33cccc;\"><strong>field block<\/strong><\/span> or guided anaesthesia according to the <span style=\"color: #33cccc;\"><strong>Oberst method<\/strong><\/span>.<\/span><br \/>\n<span class=\"jce_caption\" style=\"margin-top: 10px; margin-bottom: 10px; display: inline-block; color: #003366;\"><img loading=\"lazy\" decoding=\"async\" class=\" size-full wp-image-792\" style=\"margin: auto;\" src=\"https:\/\/cloverock.info\/mockosce23\/new\/wp-content\/uploads\/2010\/12\/MinorSurgery_ms-fig-75.jpg\" alt=\"\" width=\"300\" height=\"146\" srcset=\"https:\/\/www.qpercom.com\/sim\/wp-content\/uploads\/2010\/12\/MinorSurgery_ms-fig-75.jpg 400w, https:\/\/www.qpercom.com\/sim\/wp-content\/uploads\/2010\/12\/MinorSurgery_ms-fig-75-300x146.jpg 300w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/span><\/li>\n<\/ul>\n<p><strong><span class=\"jce_caption\" style=\"margin-top: 10px; margin-bottom: 10px; display: inline-block; color: #003366;\">Figure 75<\/span><\/strong><\/p>\n<hr \/>\n<ul>\n<li><span style=\"color: #003366;\">Holding the scalpel <span style=\"color: #33cccc;\"><strong>perpendicular<\/strong><\/span> to the skin, make an <span style=\"color: #33cccc;\"><strong>elliptical incision<\/strong><\/span> parallel to the skin lines <em><strong>[Figure 75]<\/strong><\/em>. Make the incision close to the tumour in unaffected tissue.<\/span><\/li>\n<li><span style=\"color: #003366;\">Place your thumb and forefinger on either side of the area to be excised and <span style=\"color: #33cccc;\"><strong>apply tension<\/strong><\/span> to the skin.<\/span><\/li>\n<li><span style=\"color: #003366;\">Set the tip of the scalpel at the beginning of the incision and, holding it perpendicular to the skin, cut in a <span style=\"color: #33cccc;\"><strong>fluid motion<\/strong><\/span> using the rounded portion of the scalpel.<\/span><\/li>\n<li><span style=\"color: #003366;\">Avoid having the incision paths cross in the corner (\u201c<em>fish tail<\/em>\u201d) <em><strong>[Figure 76]<\/strong><\/em>.<\/span><br \/>\n<span class=\"jce_caption\" style=\"margin: 10px 0px; display: inline-block; color: #003366;\"><img loading=\"lazy\" decoding=\"async\" class=\" size-full wp-image-793\" style=\"margin: auto;\" src=\"https:\/\/cloverock.info\/mockosce23\/new\/wp-content\/uploads\/2010\/12\/MinorSurgery_ms-fig-76.jpg\" alt=\"\" width=\"300\" height=\"122\" srcset=\"https:\/\/www.qpercom.com\/sim\/wp-content\/uploads\/2010\/12\/MinorSurgery_ms-fig-76.jpg 400w, https:\/\/www.qpercom.com\/sim\/wp-content\/uploads\/2010\/12\/MinorSurgery_ms-fig-76-300x122.jpg 300w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/span><\/li>\n<\/ul>\n<p><strong><span class=\"jce_caption\" style=\"margin: 10px 0px; display: inline-block; color: #003366;\">Figure 76<\/span><\/strong><\/p>\n<hr \/>\n<ul>\n<li><span style=\"color: #003366;\">Make the incision pass through the entire skin layer.<\/span><\/li>\n<li><span style=\"color: #003366;\">Using the surgical tweezers, grip the skin flat containing the tumour and excise it, taking along some subcutaneous fat<em><strong> [Figure 77]<\/strong><\/em>.<\/span><br \/>\n<span class=\"jce_caption\" style=\"margin-top: 10px; margin-bottom: 10px; display: inline-block; color: #003366;\"><img loading=\"lazy\" decoding=\"async\" class=\" size-full wp-image-794\" style=\"margin: auto;\" src=\"https:\/\/cloverock.info\/mockosce23\/new\/wp-content\/uploads\/2010\/12\/MinorSurgery_ms-fig-77.jpg\" alt=\"\" width=\"300\" height=\"214\" srcset=\"https:\/\/www.qpercom.com\/sim\/wp-content\/uploads\/2010\/12\/MinorSurgery_ms-fig-77.jpg 400w, https:\/\/www.qpercom.com\/sim\/wp-content\/uploads\/2010\/12\/MinorSurgery_ms-fig-77-300x214.jpg 300w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/span><\/li>\n<\/ul>\n<p><strong><span class=\"jce_caption\" style=\"margin-top: 10px; margin-bottom: 10px; display: inline-block; color: #003366;\">Figure 77<\/span><\/strong><\/p>\n<hr \/>\n<ul>\n<li><span style=\"color: #003366;\">Mark the <span style=\"color: #33cccc;\"><strong>specimen<\/strong><\/span> with a suture for the benefit of the pathologist.<\/span><\/li>\n<li><span style=\"color: #003366;\">Deposit the resected material in a <span style=\"color: #33cccc;\"><strong>formalin-filled container<\/strong><\/span>.<\/span><\/li>\n<li><span style=\"color: #003366;\">Dab the wound with <span style=\"color: #33cccc;\"><strong>sterile gauze<\/strong><\/span> until it is dry.<\/span><\/li>\n<li><span style=\"color: #003366;\">Suture the wound margins with <span style=\"color: #33cccc;\"><strong>non-reabsorbable material<\/strong><\/span>.<\/span><\/li>\n<\/ul>\n<hr \/>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Procedure Mark the site of the incision on the skin [Figure 75]. Apply iodine to the surgical area. Cover with a sterile fenestrated drape. Administer local anaesthesia by field block or guided anaesthesia according to the Oberst method. Figure 75 Holding the scalpel perpendicular to the skin, make an elliptical incision parallel to the skin [&hellip;]<\/p>\n","protected":false},"author":83,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[77],"tags":[146],"class_list":["post-795","post","type-post","status-publish","format-standard","hentry","category-excision-of-benign-intracutaneous-tumors","tag-minor-surgery"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.4 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Excision Of Fibroma And Naevi - Qpercom | Skills in Medicine<\/title>\n<meta name=\"description\" content=\"Online Mock OSCEs with examiners, patient actors, instant results and personalised feedback. 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