Simple excision is used to remove a variety of dermal and epidermal benign lesions. Sometimes, certain suspicious lesions are excised for histopathological examination. Various methods of excision are:
- Shave excision: For benign, pedunculated lesions
- Punch excision: For well defined, spherical lesions
- Fusiform excision: For irregularly shaped or large lesions
The procedure is done under local anesthesia with aseptic precautions. For better cosmetic results, the lesions should be excised along the skin creases. Suturing is done with appropriate suture materials that cause less tissue reaction. Lesions that can be removed by simple excision are:
- Seborrheic keratosis
- Benign melanocytic nevi
- Cutaneous neurofibroma
- Cysts – epidermoid, acne, sebaceous
- Other benign tumors of the skin
Precautions:
- Look for keloidal tendency
