@bacsi_vongocson: 🔹 Step 1: Incision Make an elliptical incision with adequate margins: – For non-cystic lesions: include ~2 mm healthy tissue. – For infected cysts: stage approach – first incise & drain, then excise later. 🔹 Step 2: Orientation Place the incision along Langer’s (or Kraissl’s) lines, perpendicular to muscle fibers for better healing and minimal scarring. 🔹 Step 3: Dissection Dissect down to subcutaneous fat, not to fascia. Try not to rupture the cyst capsule to prevent recurrence or inflammation. 🔹 Step 4: Specimen Handling Handle skin and lesion gently. Avoid crushing the tissue to preserve histological architecture. 🔹 Step 5: Wound Closure Only close in two layers if no infection. – Dermis: 3-0 undyed Vicryl, interrupted sutures. – Epidermis: 5-0 Vicryl subcuticular continuous + Steri-strips or glue. Optional: 6-0 nylon interrupted at skin edges for added support. 🔹 Step 6: Suture Removal – Remove interrupted sutures in 8–10 days. – If near joints, reinforce with Steri-strips. – Nylon continuous sutures may remain for up to 14 days. #health #bacsi_son #benigntumor

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Monday 16 June 2025 15:08:35 GMT