Surgery

Removal of neoplasms, treatment of ingrown nails and suppurative conditions

Patients most often consult a surgeon when pain, discomfort, or persistent inflammation is already present and does not resolve on its own. Subcutaneous lumps, enlargement of an existing lesion, redness, localized increase in skin temperature, or the presence of pus are clinical signs that require medical evaluation rather than observation. 

These conditions require professional surgical management rather than home care. Delayed treatment or self-management may lead to complications, including lesion growth, spread of infection, or recurrent suppuration. For this reason, patients seek timely treatment that allows effective resolution of the problem with minimal intervention and a predictable recovery period. 

At Doctor Sam Medical Center, the following procedures are performed: 

• Removal of atheromas, lipomas, and fibromas with minimal tissue trauma and proper healing 
• Treatment of ingrown nails with correction of the underlying cause to reduce the risk of recurrence 
• Incision and drainage of abscesses and furuncles with appropriate infection control 
• Primary wound management, including care for complicated healing processes or post-traumatic cases 

All procedures are performed on an outpatient basis under local anesthesia, which allows patients to avoid hospitalization and return to their usual daily activities on the same day. The extent of the intervention is determined individually, depending on the stage of the condition, its location, and the condition of the surrounding tissues. 

Proper surgical technique, sterile conditions, and post-procedure follow-up are essential to reduce the risk of recurrence and support optimal healing outcomes.

Surgical consultation: clinical assessment and indication for intervention 

Not every visit to a surgeon results in a procedure. The primary goal of a consultation is to accurately determine the nature of the condition and define the most appropriate management approach. 

During the appointment, the physician performs a clinical examination, assesses tissue condition, and identifies the type of lesion or inflammatory process, as well as its stage and potential risks. This allows for a well-informed decision regarding further management. 

The consultation determines: 

• whether the condition requires surgical intervention 
• the possibility of outpatient treatment
• the need for additional diagnostic evaluation 
• the optimal scope and timing of the procedure 

If intervention is indicated and no additional preparation is required, it may be performed on the same day. This approach helps to avoid delays and reduces the risk of complications. 

Timely consultation is particularly important in the presence of lumps, pain, inflammation, or structural tissue changes. Early diagnosis allows for less invasive treatment and supports predictable clinical outcomes. 

At Doctor Sam, consultations are focused on accurate diagnosis and selection of an appropriate treatment strategy, without unnecessary interventions or excessive testing.

Outpatient surgery: procedure and recovery 

Modern outpatient surgery allows most procedures to be performed without hospitalization, with minimal physiological burden and predictable outcomes. 

Most interventions are carried out under local anesthesia, ensuring the absence of pain during the procedure. The extent of the intervention is determined individually, depending on the nature of the condition, its location, and the stage of the process.

The procedure typically includes: 

• clinical examination and confirmation of the diagnosis 
• antiseptic preparation of the operative field 
• administration of local anesthesia 
• performance of the surgical intervention 
• placement of sutures or a sterile dressing 

The duration of the procedure is usually between 20 and 40 minutes. After completion, the patient does not require inpatient monitoring and can leave the clinic the same day. Postoperative pain is generally minimal and, if necessary, can be managed with standard analgesics. 

Recovery time depends on the extent of the intervention. However, in most cases, initial healing occurs within a few days. Adherence to post-procedure care instructions is essential to prevent complications and to achieve optimal healing and aesthetic outcomes. 

At Doctor Sam, outpatient surgical procedures are performed in accordance with modern standards of sterility and surgical technique, ensuring procedural safety and a controlled healing process.