Excision of recurrent pyogenic granuloma

Assignment Help Biology
Reference no: EM132280131

PREOPERATIVE DIAGNOSIS: Pyogenic granuloma, left lateral thigh.

POSTOPERATIVE DIAGNOSIS: Pyogenic granuloma, left lateral thigh.


PROCEDURE: Excision of recurrent pyogenic granuloma.

INDICATIONS: The patient is 12-year-old young lady, who has a hand-sized congenital vascular malformation on her left lateral thigh below the greater trochanter, which was described by her parents as a birthmark. This congenital cutaneous vascular malformation faded substantially over the first years of her life and has regressed to a flat, slightly hyperpigmented lesion. Although no isolated injury event can be recalled, the patient has developed a pyogenic granuloma next to the distal portion of this lesion on her mid thigh, and it has been treated with topical cautery in her primary care doctor's office, but with recurrence. She is here today for excision.

OPERATIVE FINDINGS: The patient had what appeared to be a classic pyogenic granuloma arising from this involuted vascular malformation.

DESCRIPTION OF OPERATION: The patient came to the operating room, had an uneventful induction of general anesthesia. We conducted a surgical time-out, reiterated her important and unique identifying information and confirmed that the excision of the left thigh pyogenic granuloma was the procedure planned for today. Preparation and draping was __________ ensued with a chlorhexidine based prep solution. The pyogenic granuloma was approximately 6 to 7 mm in greatest dimension and to remove it required creating an elliptical incision of about 1 cm. This entire area was infiltrated with 0.25% Marcaine with dilute epinephrine to provide a wide local field block and then an elliptical incision was made with a #15 scalpel blade, excising the pyogenic granuloma, its base, and a small rim of surrounding normal skin. Some of the abnormal vessels in the dermal and subdermal layer were cauterized with the needle-tip electrocautery pencil. The wound was closed in layers with a deep dermal roll of 5-0 Monocryl stitches supplemented by 5-0 intradermal Monocryl and Steri-Strips for final skin closure. The patient tolerated the procedure well. This nodule was submitted to pathology for confirmation of its histology as a pyogenic granuloma. Blood loss was less than 5 mL and there were no complications.

Reference no: EM132280131

Tripariat thermal structure of a lake

How does heat affect the tripariat thermal structure of a lake (epiliminion, thermocline and hypolimnion) during the summer and does the application of wind change this?

Would it likely affect birth rate

If a disease instead killed 50 percent of females, would it likelyaffect birth rate? Imagine a disease that killed 50% of the male roachs in population.Do you think this will

What percentage of filtered Na is excreted

You collect the following data: plasma Na=144 mM, urine Na=200 mM, urine volume=36 mL in 30 minutes, and inulin clearance = 120 mL/min. What percentage of filtered Na is excre

Brain strengths

Think about a time you had trouble learning something. Why do you think you had such difficulty? Do you think that your difficulty had anything to do with your right- or lef

What path will that carbon take through the biosphere

If I had a biosphere of plants and animals and air and I radio labelled the carbon in co2, what path will that carbon take through the biosphere, where does carbon go.

Discusses the ecological footprint of a nation

Find an article from the peer-reviewed literature that discusses the ecological footprint of a nation (other than the US) or a region of the world. The article could focus o

Find the average packing ratio of dna at metaphase

The broad bean is diploid and 2n= 18. Each haploid chromosome setcontains approximately 4 m of DNA. the average size of each chromosome during metaphase of mitosis is 13 µm.

Write a narrative of the possible causes

write a narrative of the possible causes and treatments for two common forms of cancer. I know the forms of cancer and the names of types out there, I just need more help wi


Write a Review

Free Assignment Quote

Assured A++ Grade

Get guaranteed satisfaction & time on delivery in every assignment order you paid with us! We ensure premium quality solution document along with free turntin report!

All rights reserved! Copyrights ©2019-2020 ExpertsMind IT Educational Pvt Ltd