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Surgical Removal

Narrow hole technique is a surgical procedure in which the surgeon removes the cyst with a very small incision. 

It generally helps treatment for Cyst removal. 

However, this procedure may not be recommended in case:

  • Keloid scars
  • Active bacterial or fungal infection
  • History of herpes simplex virus infection
  • Pregnant women
  • History of eczema, psoriasis and other chronic skin conditions
  • History of actinic (solar) keratosis 
  • Medical disorders such as scleroderma, collagen vascular diseases, bleeding disorders, heart disease
  • Patients with diabetes and those on immunosuppressive therapy, who are therefore more likely to have decreased wound healing
  • Patients with moles or warts in the treatment area

BENEFITS:

  • Firstly, narrow hole technique is quick, minimally invasive and so causes no to very little pain. 
  • Secondly, because it destroys tissue by excision instead of volatilization, there is no scar formation. Thereby it improves the cosmetic results of removing epidermal cysts.
  • Thirdly, it greatly reduces the chances of the unfavourable sequelae of pain, swelling, infection, rigidity, and shock due to excessive bleeding after major surgery. 
  • Above all, the procedure has a low recurrence rate and is without complications.

 

How does the procedure work? 

PRE-PROCEDURE:

  • Your dermatologist will explain the procedure to you step-by-step and address all your concerns. 
  • After that, you will be asked for your consent for the procedure. In fact, only then will they proceed further. 
  • Once you’re comfortably settled, your dermatologist will clean the treatment area properly and then give local anaesthesia. 
  • He will make a narrow hole incision over the cyst with a needle.
  • With the help of the scraping method, he will scrap the cyst gently towards the hole and remove the cyst entirely with the help of the extractor and forceps.
  • Lastly, to control bleeding, he will apply a compression dressing for five days with ointment and gauze. 

Furthermore, the procedure lasts for about an hour to an hour and a half. 

Moreover, in some cases, you may need to repeat the procedure after an interval of 1-2 months to reduce the risk of recurrence. 

POST-PROCEDURE CARE:

  • Immediately after the procedure, you may experience a burning sensation that can be relieved by a cooling pad, cooling roller, or fan. 
  • Try to avoid any direct exposure to dust.
  • You can wash the treated area with plain water after 24 hours or the next morning after treatment.
  • After the first day, wash and dry the treated area by patting the skin gently for 2 days.
  • During that period, do not rub the treated area.
  • After the 3rd day, you may wash or take a shower regularly.
  • Meanwhile, apply lotion at least twice a day. It will help hydrate and moisturise the skin, which will, in turn, help the area heal and reduce the risk of an allergic reaction. 
  • Your doctor may prescribe painkillers and antibiotics to decrease pain and prevent infection. 
  • After 3-7 days, a scab will form on the treated area and fall off soon. 
  • New skin will start forming after 10-14 days. 
  • For a week, avoid any vigorous activities like swimming, weight lifting, etc. Likewise, avoid smoking and alcohol consumption.
  • Average downtime is about five days. 

 

SIDE EFFECTS:

 

  • Hypopigmentation or hyperpigmentation
  • Mild erythema
  • Mild depression
  • A pinpoint scar

However, the risk of these side effects is reduced when the procedure is performed correctly by an experienced surgeon. 

 

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