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Leg Lipoma Hurts, Should It Be Removed?
this problem has been going on for about a year.i have already been seen by a surgeon, and he says that it is not necessary, but he is not the one who has to deal with the pain. i want to get it removed but i do not want to be put to sleep. could it be removed while i am awake? meaning could they just numb the area?
Asked 34 months ago by
heather chapel
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Painful lipoma removal
In my Los Angeles office, I see a lot of lipomas, a fraction of which are painful. Most lipomas are not symptomatic and I agree with Dr. Placik that the majority of painful lipomas are either angiolipomas or glomus tumors. I would have them surgically removed. In my practice, I use a very small incision overlying the lipoma.
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Removal of lipoma
The removal of lipomas in the leg can be straightforward procedure. The most important point to keep in mind is that surgery in the lower extremities are prone to fluid collections. When discussing your surgery with your surgeon, ask what modalities they will use to prevent the accumulation of fluid, seromas, or hematomas. Your surgeon may recommend that you use tight compressive hose that will allow your skin to adhere to the underlying muscle.
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Remove the lipoma
In my experience, the painful lipomas tend to be diagnosed as angiolipomas. Of course, that is of little relevance to you and has little to do with the treatmnent.
Lipomas are typically removed to establish a definitive diagnosis, minimize discomfort and prevent further growth. Generally, the surgical excision of lipomas in the extremities is relatively straighforward as long as they are not in close proximity to any significant nerves or vessels.
I have frequently performed these under...
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Yes, it should be removed
Any painful abnormal growth should be removed and biposied. If it is small enough, doesn't adhere to the deep tissues or invade into them, and if you are courageous enough, it can be done under local anesthesia. The realatively sooner you do it the easier so it doesn't have a chance to grow ever bigger.
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Yes
It would depend on the size of the lipoma. Lipomas, if they are small enough, and located superficial enough can be excised under simple local anesthesia, in an office setting. Larger lipomas can be excised in an out-patient OR setting, again under local with IV sedation. Only large lipomas that might be adhering to muscle or in difficult locaions, need to be done under general anesthesia.
I have personal experience both taking them out in my office and having a large lipoma excised...
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