Arista Medical Ltd/ LipomaCyst Clinic

Thank you for booking surgery with us at LipomaCyst clinic. Ahead of your surgery, we advise that you read the below consent form information. 
Your doctor will go through it again with you on the day of surgery but should you have any questions beforehand then please do not hesitate to call us.

 

MINOR SURGERY CONSENT

 

Risks Associated with Surgery

Serious or frequent risks: scar, keloid scarring, bleeding, bruising, wound infection, re-occurrence, pain, inflammation, numbness, wound opening, haematoma (collection of blood in the skin), abscess formation, scar widening, nerve damage, muscle damage, hair loss within the scar, further treatment.  I am aware that medical and cosmetic results cannot be guaranteed. I understand however that the best efforts and judgement will be performed on my behalf. In cases where histology is requested, the laboratory may require additional tests, which will result in an associated supplementary fee.

You have just had a minor operation. We perform several 100 Minor operations a year and in the vast majority of cases, there are no complications or side effects. However, we feel you should be fully informed of the minor difficulties that can sometimes occur.

Inflammation:  
This presents as a slight redness around stitches and usually settles down when the stitches are removed.  

Infection:
Sometimes the treated area can become infected. This gives rise to pain, swelling and redness, or there may be some pus present. If this happens, you should visit the surgery and see a nurse. 

Bleeding/Bruising:
Continuous pressure of 10-15 minutes is usually enough to stop bleeding. Elevation of the affected area (such as a limb or head) will also help. Very occasionally a wound may bleed sufficiently to need re-stitching or a small blood vessel may need recoagulation. Contact the surgery if this happens. 

Fainting:
If you feel faint or sick during or after the operation, let us know and we will raise your feet and give you some oxygen if needed. Patients who faint will be kept in the surgery and checked before going home.  

Anaesthetic Problems:
The adrenaline in the local anaesthetic can rarely cause a feeling of rapid heartbeat (palpitations). We can exclude the adrenaline if this has happened to you before. If palpitations occur, we advise a few minutes of extra rest before returning home. Allergy to the local anaesthetic is extremely rare. If you have had problems with local anaesthetic, please let us know.  

Scarring:
It is impossible to remove anything without leaving a scar. As a general rule, the length of the scar is relative to the width of the lump to be removed.  

Stretching of the scar:
A wide stretched scar can occur if it overlies a large muscle or joint, or if strapping has been removed too soon or activities that stretch the scar are resumed too early.  

Hypertrophic or Keloid Scars:
This is an over-reaction of the fibrous tissue/scar in your skin. It does not happen immediately but develops a few weeks after surgery. Keloid scars are due to an individual’s inherent tendency to form scar tissue. They are more common on the front of the chest, upper arms and upper back, and in scars which have not been sufficiently immobilized. They are also more common in Afro-Caribbean skin types. If you have had any previous problems with thickened scars please let us know.   

Wound breakdown:
This is very uncommon. The most likely time for this to occur is just after the stitches have been removed or if the wound has become infected. Special care and good strapping for the days just after the sutures have been removed will reduce the risk of this happening.   

Nerve Damage  Sensation:
When the area of skin removed is large some small nerves in the skin will be cut. This may result in a small area of numbness around the wound. Although recovery usually occurs, a permanent area of numbness may persist. 

Movement: 
It is extremely rare to cause damage to nerves that deal with movement. However, there are certain areas, especially on the face, where deep surgery could cause damage to such nerves especially if the nerves are abnormally placed

Follow on Review:
Any follow-up review will be discussed at the time of your appointment. However, should your symptoms return within the time frame, and you wish to arrange a further review, please contact the surgery.  

Histology:
All removed tissue is recommended to be sent to the laboratory for histological analysis to make a firm diagnosis and ensure we have not identified a skin cancer unless you consent against this. If we do have an unexpected result, we aim to contact you directly. We do ask that you ring reception three weeks after the surgery to ensure we have had your histology and it is harmless.

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