Dorsal Lipoma Exeresis
A dorsal lipoma is a benign fatty tumor that develops along the back, often near the spine. While generally painless and slow-growing, larger lipomas or those causing discomfort, neurological symptoms, or aesthetic concerns may require surgical removal, known as exeresis.
Indications for Exeresis
Dorsal lipomas are typically harmless, but surgical removal is considered when:
- The lipoma is large or growing rapidly.
- It causes pain, tenderness, or restricts movement.
- It compresses nearby nerves, leading to numbness or weakness.
- There is suspicion of malignancy, though rare.
- The patient seeks removal for cosmetic reasons.
Surgical Procedure
Exeresis of a dorsal lipoma is a minor surgical procedure performed under local or general anesthesia, depending on size and depth. The steps include:
- Incision – A precise cut is made over the lipoma.
- Dissection – The lipoma is carefully separated from surrounding tissues.
- Excision – The entire mass is removed to minimize recurrence.
- Closure – The incision is sutured, and a dressing is applied.
Recovery and Risks
Most patients recover quickly, experiencing mild pain and swelling. Full healing takes a few weeks, with minimal scarring. Potential risks include infection, hematoma, nerve damage, or recurrence, though rare with proper technique.
Conclusion
Dorsal lipoma exeresis is a safe and effective procedure for symptomatic or bothersome lipomas. Consulting a specialist ensures proper evaluation and management, promoting optimal outcomes.
