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Lipoma Surgery

What is Lipoma


A lipoma is a benign tumor composed of adipose tissue (body fat). It is the most common benign form of soft tissue tumor. Lipomas are soft to the touch, usually movable, and are generally painless. Many lipomas are small (under one centimeter diameter) but can enlarge to sizes greater than six centimeters. Lipomas are commonly found in adults from 40 to 60 years of age, but can also be found in younger adults and children.

Causes for Lipoma

The tendency to develop a lipoma is not necessarily hereditary although hereditary conditions, such as familial multiple lipomatosis, may include lipoma development. Genetic studies in mice have shown a correlation between the HMG I-C gene (previously identified as a gene related to obesity) and lipoma development. These studies support prior epidemiologic data in humans showing a correlation between HMG I-C and mesenchymal  tumors.
Cases have been reported where minor injuries are alleged to have triggered the growth of a lipoma, called "post-traumatic lipomas. However, the link between trauma and the development of lipomas is controversial.

Dr Suresh has to his credit the removal of maximum number of Lipomas in one Single Patient - 34 in all removed in 4 hours. For most of the patients who have 1-2 Lipomas, the surgery takes just 30-45 minutes and the hospital stay is just few hours. The surgical cost is in the range of Rs. 25000-30000 per Lipoma if done under Local Anaesthesia.

Treatment of Lipomas


Usually, treatment of a lipoma is not necessary, unless the tumor becomes painful or restricts movement. They are usually removed for cosmetic reasons, if they grow very large, or for histopathology to check that they are not a more dangerous type of tumor such as a liposarcoma. This last point can be important as the characteristics of a "bump" are not known until after it is removed and medically examined.Lipomas are normally removed by simple excision. The removal can often be done under local anaesthetic, and takes less than 30 minutes. This cures the great majority of cases, with about 1–2% of lipomas recurring after excision. Liposuction is another option if the lipoma is soft and has a small connective tissue component. Liposuction typically results in less scarring; however, with large lipomas it may fail to remove the entire tumor, which can lead to regrowth.

 

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