From the blog...
This time, it is a case of a very large epidermoid cyst with a size of 16 cm .
I was worried about whether to remove it all at once, but because it was too large, I decided to take out the contents of the cyst without removing the tumor at once, and then remove it again when the tumor became small.
Why I didn't do surgery at once?
If all the large tumors are removed at once, the incision site will be very large. Since it is the thigh this time, there is an increased risk of hematoma or wound opening if it moves. Hospitalization was mandatory even if surgery was performed, but due to the patient's convenience, hospitalization was difficult, so I requested surgery on a day trip.
Also, when a large tumor is removed, a large cavity is created under the skin. That is the dead space. Postoperative hematoma is likely to occur here. Taking a 16 cm-sized tumor creates a fairly large dead space, and there is a high possibility that problems will occur due to postoperative walking.
Disadvantages of removing only the contents
In fact, there are disadvantages to performing surgery when the tumor becomes smaller by taking out only the contents.
It is an infection after the operation because the operation is completed leaving the contents behind. In addition, foreign body reaction may occur when the contents leak under the skin, causing inflammation. Therefore, after surgery, it is necessary to have the patient return home with the wound open and continue the cleaning procedure at home to prevent infection.
If infection control is successful and the tumor is smaller, surgery can be done with smaller excisions.
The second surgery is scheduled for about 3 months.
The progress will be updated at a later date.