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.
The treatment is directed to the specific symptoms that are apparent in each individual and is aimed primarily at relieving the characteristic painful episodes. Various analgesics (analgesics) have been tried with limited effectiveness. Injections of corticosteroids have also been used to treat people with Dercum Disease. However, in one case reported in the medical literature, the use of high doses of corticosteroids was linked to a possible cause of the disease.
Dominant genetic disorders occur when only a single copy of an abnormal gene is needed for the appearance of the disease. The abnormal gene can be inherited from either parent, or it can be the result of a new mutation (gene change) in the affected individual. The risk of transmitting the abnormal gene of the parent assigned to the pregnancy is 50 percent for each pregnancy, regardless of the sex of the resulting child.
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Third times a charm, I guess. ugh…. Sorry, this was supposed to be a simple Throwback Thursday, so I could show you how my patient is healing after having a pretty sizable lipoma was removed….