4.12.08  
  
 
Surgery
Surgical Procedures
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Day Surgical Clinic
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Home Page > SurgeryPlastic Surgery - Department > Day Surgical Clinic
Day Surgical Clinic

The Department specializes in dermatological surgery aimed mainly at surgical treatment of various types of skin tumors. Most procedures are performed under local anesthetic and include the removal of moles, cysts, lipomas (fatty tumors), scars, and malignant tumors, such as basal cell carcinoma, squamous cell carcinoma and melanoma.

 


The surgery is performed on an outpatient basis, (the patient is admitted on the day of surgery, is not required to fast, and is discharged on the same day.

Most surgical procedures are for removal of skin or subcutaneous tumors.

Tumors are removed and sent for pathological diagnosis.

Following removal of the tumor, there remains a surgical wound that requires closing.

 

The closing of the surgical wound is performed by one of the following methods:

  • Initial suturing of the wound margins: if the skin around the wound is loose enough it can be pulled to the center and stitched. This technique is suitable in most cases, but not when there isn't sufficient skin around the wound, the skin is taut (such as on the legs), or the process of pulling will cause cosmetic distortion (such as on the face).
  • Skin grafts: if the wound can not be stitched by regular suturing, the area can be covered by a skin graft. Grafts are taken from areas that are similar to the wound site, in order to achieve maximum compatibility. Facial grafts are taken from the area in front of or behind the ears. Grafts for other areas are taken from the thighs or groin area. The skin is taken from a concealed area to avoid exposure of the remaining scar. The grafts are tied securely to the wound site and the patient is released. The bandage is removed 3-5 days later at the clinic. Skins grafts are an optimal solution to cover large wounds, without stretching the skin or creating distortions around the wound. The reception level of the grafts is extremely high. On the other hand, skin grafts are not suitable for exposed bones, tendons or cartilage, and are not useful in cases of deeper removal of skin and exposure of these structures.
  • Local skin flaps: a skin clip is a piece of skin that has been detached because of deep and wide cuts, but is still connected to the body on one section. The base of this skin preserves the flow of blood to the skin tissue which is almost completely detached from the body. The advantage of releasing the skin depends on the ability to move it (by pulling, pushing, turning, turning over, etc.) in order to cover the skin around it. Skin flaps might be a better cosmetic solution than a skin graft because they are made from skin with the same characteristics as the recipient region. Skin flaps can be used to cover bones, tendons or cartilage that cannot be covered by grafts. Even so, skin flaps are not always available around the wound and the blood supply in that area might be insufficient.

Location:

Department of Ambulatory Care, -2 Floor, Wing B


Reception Hours

Monday and Wednesdays: 07:30

 

 

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