The dead space is closed under the skin using buried 3-0 or 4-0 Vicryl sutures (Figure 5). Occasionally, drains should be placed to prevent fluid build-up, but this should be avoided if possible. The skin is then closed with interrupted 4-0 or 5-0 nylon sutures. A compressive dressing is placed to reduce the incidence of the formation of hepatoma. The patient receives routine wound care instructions, and the wound is checked in two to seven days.
1 Most lipomas are asymptomatic, and can be diagnosed with clinical examination (Table 1). 1) and do not require treatment. These tumors can also be found in deeper tissues such as intermuscular septa, abdominal organs, oral cavity, internal auditory canal, ponto-cerebellar angle and thorax.2 - 4 Lipomas have been identified in all age groups. Appear between 40 and 60 years.5 Congenital lipomas have been observed in children.
Lipomas are usually unique but can grow in crops. They are sweet and pitiful in consistency. Lipomas are essentially painless and generally asymptomatic when observed 5. They will be noticed only when one feels swelling on the part of the body. The "slip sign" is very characteristic and helps to diagnose lipomas. When a lipoma is held between the fingers, it slips out of the fingers and therefore, the diagnostic sign is called sign of slip 6.
Sometimes a lipoma needs to be removed if it causes symptoms - for example, pressing on another part of the body. Sometimes, if the diagnosis is not clear, a lipoma is removed to look under the microscope. This is to make sure that the growth that has been detected is a lipoma and not something more serious. For a lipoma that forms under the skin, usually it can be removed by a simple minor operation. A local anesthetic is injected into the skin above the lipoma. Once the overlying skin numbs the local anesthetic, an incision is made on the lipoma. The lipoma is then removed and cut from the underlying tissue.
http://veterinarysecrets.com/news Dr Jones shows you how to tell if your dog has a benign fatty growth, known as a lipoma. Dr Jones goes on to show you 7 Natural Solutions to treating dog…