The Rotherham NHS Foundation Trust. Skin surgery. Dermatology. patientinformation. Your health, your life, your choice, our passion

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1 The Rotherham NHS Foundation Trust Skin surgery Dermatology patientinformation Your health, your life, your choice, our passion

2 Hearing about your experience of our services is very important as it means we can pass compliments to our staff and make improvements where necessary. Tell us what you think at If you require this document in another language, large print, braille or audio version, please contact atient Information on or

3 Skin surgery You have been advised that you need skin surgery. You will be given an appointment after you have seen the doctor in clinic. Skin surgery is usually a simple procedure. It involves you coming along to the Dermatology Department, where a doctor/specialist nurse will carry out the operation in our own surgery. Most procedures take 20 to 30 minutes and you go straight home afterwards. There is no need for you to starve yourself before the procedure. If the surgery is carried out in an area where you need to stretch, for example, your calf or back when driving, it is advisable to bring someone with you to drive you home afterwards. This will prevent any unnecessary trauma to the area being treated. You will be given a local anaesthetic i.e. an injection around the area of skin to be treated (you are not put to sleep). Sensations may take 2 to 4 hours to return after the local anaesthetic. Taking a simple painkiller such as aracetamol usually relieves any pain or soreness. You will probably have some stitches, although this is not always necessary. This depends on the procedure being carried out. Risks All skin surgery carries the following risks: l Bleeding from the wound post operatively l Wound infection l Wound breakdown 3

4 Skin surgery All surgery results in some degree of scarring, but this can be minimised by keeping the wound clean and dry. You may be required to rest or limit your activity e.g. exercise/work. Scars can stretch and sometimes become raised (keloid), depending on which part of the body surgery has taken place. Surgery on certain areas of the face carries with it a small risk of permanent nerve damage. lease discuss this further with the doctor performing the surgery. Biopsy A Biopsy is the removal of tissue for study and diagnosis, usually under a microscope. It is also sometimes used to completely remove lesions. There are several ways of carrying out a biopsy. These are: unch Biopsy A round piece of skin is removed for testing in the laboratory using a specially designed instrument. Stitches are sometimes required. Shave Biopsy Some skin lesions can be cut off the skin leaving a small wound, which is then sealed by cauterisation. Excisional Biopsy Some skin lesions need cutting out of the skin, and these wounds will require stitches. The wounds from these may be larger than the lesion was originally. 4

5 Skin surgery Other procedures Curettage and Cautery Some skin lesions can be scooped out with a surgical cutting spoon, and the wound is then sealed with cauterisation. Hyfracation This involves passing an electrical current onto the lesion, which cauterises the lesion being treated. Skin Flaps Large lesions, or lesions in awkward positions, may require a plastic surgery technique, to enable the wound to be stitched. This may take between 45 minutes to 1 hour, and can be a larger wound than you expected. Skin Grafts In some instances a skin graft is necessary when a large lesion has been removed. A piece of skin is taken from another area of the body and used to repair the wound. Stronger pain relief may be prescribed, if needed. There may be more bruising initially. Medications lease bring along any medications you are taking at the time you come for surgery, and let the doctor know if you have any allergies. If you have been fitted with a pacemaker, please let the doctor know as some equipment can interfere with it. Be sure to notify the doctor if you are taking Warfarin or Aspirin when you are first seen in clinic, as you may have to stop taking these before you have surgery. 5

6 Skin surgery How to contact us If you have any questions or concerns, about your surgery or medication, please inform your nurse, or the doctor in charge of your care, or contact the: Dermatology Department Monday to Friday 8.00am until 8.00pm Saturdays and Bank Holidays 9.00am until 4.00pm Telephone Dermatology Reception Monday to Friday 9.00am to 4.30pm Telephone Switchboard Telephone Useful contact numbers NHS 111 Service Telephone 111 Health Info Telephone Stop Smoking Service Telephone atient Services Telephone A&E Telephone For G out of hours, contact your surgery Useful websites We value your comments If you have any comments or concerns about the care we have provided please let us know, or alternatively you can write to: atient Services The Rotherham NHS Foundation Trust Rotherham Hospital Moorgate Road Oakwood Rotherham S60 2UD Telephone complaints@rothgen.nhs.uk roduced by Dr Muncaster, July Revised December 2001, December 2003, July 2004, September 2006, July 2008, January 2009, June 2010, November 2011, November Revision due November Version: 10.0 The Rotherham NHS Foundation Trust All rights reserved. 6

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8 Sustainable Forests / Low chlorine LS /12 V10 WFO Rotherham Hospital Moorgate Road Oakwood Rotherham S60 2UD Telephone