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Dr. Firouz: This gentleman has a lipoma on his abdomen, it's been there for several years,
it's been growing in size so we're going to remove it. I think it's most likely benign
but that fact that it's been growing, we don't want it to get any bigger than this. So we're
going to get it out for him and most likely it won't come back.
Normally, something like this we can do under local anesthesia but since he was in the operating
room anyway, he wanted to do it under general. So this is a lipoma... about 7 cm on the surface.
It's mobile, it's soft, most likely making it a benign soft tissue growth. Let's get
a double hook, please. I've cut into the capsule and here's the lipoma.
It's separate from the rest of the tissue, and hopefully I want to bring this out in
one piece. It should be a relatively bloodless field. So... 4 cm.
I'm closing in multiple layers the deep areas so we don't get any fluid collection, and
then more superficial layers to get a nice watertight closure. Okay, it looks pretty
dry. And then the top layer to make it pretty, What I'm going to do, I'm going to leave a
tail on both ends and we're just going to tug it.
So we've removed the lipoma, we're sending it to pathology. We removed it with a tiny
little incision and we closed it, and we're all done. There's very little nerve or blood
supply to this thing so there shouldn't be much discomfort at all. Some time out should
be enough to take care of the incisional discomfort. It can be done locally under local anesthesia.
You don't need to be put to sleep and you won't feel a thing.