Lipoma removal in Ternopil

Lipoma (fatty tumour) is a benign fatty tumour limited by the connective tissue capsule. It occurs against the background of a violation of fat metabolism, more often in subcutaneous loose adipose tissue, less often in internal organs (kidneys, liver, female mammary glands, retroperitoneal space, etc.). External lipomas are mobile, painless and easily palpable. They grow slowly, are rarely malignant, usually do not pose a threat to life.

However, they can have a tendency to grow into subordinate structures, such as vascular and nerve bundles, which can cause their compression and, as a result, disruption of the work of neighbouring organs. Lipomas can change a person's appearance, cause aesthetic discomfort. Experts recommend removing such lipomas. Modern surgery offers a wide selection of the most gentle methods of solving this problem.

Lipomas are differentiated from similar tumours, such as atheroma, hygroma, subcutaneous cyst. Each type of treatment has its own nuances.

The appearance of any neoplasms on the body is a reason to consult a surgeon. Do not try to diagnose yourself!

Viasan Medical Centre, diagnosis and removal of lipomas of any degree of complexity.

Own surgery, modern methods, experienced specialists. Reliably!

Types and signs

Lipomas occur in every hundredth person. They can appear in any part of the body (the soles and palms are an exception). The external appearance of fat cells is the same. This is a rounded nodular formation under the skin, soft consistency with clear boundaries (capsule). They have a tendency to relapse.

Small single warts usually do not cause significant discomfort. Multiple lipomas (lipomatosis), diffused, large ones (more than 8 cm), as well as those localized in aesthetically significant places (face, scalp, neck, intimate area, etc.) significantly impair the quality of life and have a high risk of injuries and complications.

According to the nature of the capsule contents, several types of lipomas are distinguished:

• adenolipoma consists of fat cells (adipocytes) and components of sweat glands;
• myolipoma is formed by fat cells and muscle fibres;
• angiolipoma includes adipose tissue and blood vessels;
• intermuscular and intramuscular lipomas develop between muscles and muscle fibres. They often recur;
• fatty tumour of the tendon sheath occurs in the area of tendons and joint membranes;.
• lumbosacral lipoma is localized in the spinal canal near the vertebrae;
• perineural lipoma covers the nerves.

Removal

Lipomas are removed by excision of the neoplasm together with the capsule. A qualitatively performed surgery guarantees the absence of recurrence. In this case, the qualification and experience of the surgeon without exaggeration play a key role. Simple, small superficial lipomas are removed under local anaesthesia in an outpatient ‘one-day surgery’ format.

After excision, the fat is removed together with the capsule, the wound surface is sutured. As a rule, cosmetic sutures and an aseptic bandage are applied, sometimes drainage is installed at the site of the lipoma. The patient receives recommendations, a control examination by a surgeon, removal of stitches is scheduled.

Complicated cases (lipomas near internal organs, nerve fibres, etc.) are treated in the conditions of a surgical hospital in a planned manner after a complete examination. The choice of surgical method is made by the surgeon depending on the complexity of the surgical intervention and many other factors, such as the size, localization of the neoplasm, its proximity and degree of germination into vital organs. Surgery is usually performed under general anaesthesia. The type of anaesthesia is determined by the anaesthesiologist based on each specific case.

Preparation for surgery

Simple removal of superficial lipomas does not require special preparation. In other cases, the following are prescribed:

• standard laboratory tests (general blood test, urine test, test for HIV, syphilis, hepatitis), as indicated by coagulogram, ultrasound, MRI, ECG, etc.;
• therapist consultation;
• not consuming food and liquids 2 hours before the surgery under local anaesthesia and 4 hours before the surgery under general anaesthesia.

Removal of lipomas at the Viasan Clinic

• Modern surgical department.
• Full compliance of our surgery room with JCI standards.
• Compliance with sterility standards.
• The possibility of using minimally invasive methods.
• Safe anaesthesia.
• Excellent aesthetic result.