Electrosurgery Curettage Wart Removal Method Destroys Warts
What is Electrosurgery and Curettage?
Electrosurgery, also known as cautery, is a method that uses electricity with high frequency to destroy tissue, or also known as cauterization, and it is administered using a long and thin metal that is shaped like a pencil. Curettage is another method used to surgically remove tissue by scraping it using a tool called curette. A curette is a spoon-shaped tool that has a sharp edge. In most cases, these two procedures go together for more effective results.
The job of electrosurgery is to eradicate lesions that are either malignant or benign. It also does tissue removal and regulates bleeding. Curettage is used to remove unwanted tissue from the surface. The combination of electrosurgery and curettage are normally used in these circumstances:
• Squamous cell carcinoma and basal cell carcinoma
• HPV caused genital warts
• Wart, angioma, and nevus or any other skin lesions that are benign.
• Pre-malignant lesions on the skin like Actinic Keratoses or AKs.
Treatment with Electrosurgery and Curettage
One of the common uses of electrosurgery and curettage is for treating warts, both genital and non-genital warts. The process is started by heating up the electric needle and is placed on the wart to destroy it. Curettage becomes a follow-up step as it scrapes off the remaining wart tissue. When treating actinic keratoses, a local anesthetic is administered to reduce pain during the operation. Curettage is done by scraping off unwanted actinic keratoses cells and tissue. Then, electrosurgery is performed to remove and destroy all AK cells. The electrosurgery also helps control the bleeding of the wound.
For skin cancer treatments, the first step is curettage so that tumor cells are removed and then, electrosurgery is performed right after to destroy the encircling tissue. During the session, the method may be repeated a few more times to ensure that tumor cells have been completely removed and destroyed. The use of electrosurgery and curettage is recommended for skin conditions that occur on skin exposed to sunlight and small lesions. The treatment may be done the recurring lesions that have scar tissue but may not be that effective.
Techniques that are used in electrosurgery are electrosection, electrocoagulation, electrodesiccation, and electrofulguration. Electrosection is the cutting of tissue with the use of high-frequency electrical current. Electrocoagulation is a technique that uses pulses of electricity to control bleeding. Electrodesiccation is the technique used to desiccate moisture from the tissue. Lastly, electrofulguration is the technique used to produce sparks that destroy tissue. The proper way of indicating the right amount of power is starting off at low electricity and then gradually increasing the power until you reach the preferred result.
Preparation Stage Before Electrosurgery
As soon as the diagnosis is received, electrosurgery and curettage may be recommended as treatment following an evaluation. Lidocaine, a local anesthetic, is administered just before doing the procedure to help deaden a specific area of tissue. This helps patients to not feel pain during the procedure. A local anesthetic may be administered along with epinephrine, a sympathomimetic agent, which will help lessen blood loss. When treating small lesions, like non-genital warts, local anesthetics may not be administered. An alternative to injectable lidocaine is a cream-based anesthetic. The cream contains a mixture of 2.5% of prilocaine and lidocaine with the same percentage. Apply this on the area that needs to be operated an hour before.
When the electrosurgery and curettage are over, it would take a few weeks or more for the wound to heal up. During that time, the treated area must be kept dry and clean at all times. There are two types of wounds caused by electrosurgery: full-thickness and partial wounds. Partial thick wounds are caused by the desiccation of lesions on the skin. For basal cell carcinoma, desiccation and curettage will cause partial thick wounds. This type of wound can be cleaned and dressed daily with an antibiotic that helps moisten the area for growth of new tissue and also helps decrease the possibility for risks. However, full-thickness wounds need stitching and complete covering.
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Possible Risks with Electrosurgery Wart Cure
In any form of medical procedure and treatment, risks are inevitable. Possible risks that can possibly be experienced after the procedure are as follows:
• Damage on nerves can be permanent or temporary.
• Reopened wounds. When wounds reopen, this may cause infection and chances of scarring increases.
• Bleeding under the skin. When this happens, this may cause a hematoma.