Warts are a benign skin disease known to mankind since ancient times. Today, it is reliably known about the relationship of their occurrence with infection by one or another type of human papillomavirus. Organisms of some people successfully restrain its onslaught, and growths do not occur in them.
Others have tumors of various shapes on the body. They do not have an inflammatory nature, but require careful attention to themselves. With intensive growth and the threat of degeneration into malignant forms, they are preferable to remove.
Diagnosis of warts
A dermatologist is able to diagnose a wart during a visual examination. Particularly difficult cases may require a special study – histology.
Warts are classified depending on the appearance and place of appearance on the body:
- Common (vulgar) – these include hard keratinized growths, deep-rooted deep in their tissues. These yellowish neoplasms with visible black dots inside, similar to corns, most often occur on the inner and outer sides of the palms and feet, rarely on the face. Sometimes smaller growths appear near the main wart;
- Spiky and filiform condylomas – soft warts of pink color, towering above the surface of the skin in the form of a "scallop" or in the form of a finger-shaped process on the leg. They can occur on any part of the body, including in the genital area, and must be removed;
- Flat (youthful) – yellowish-brown flat rounded growths that occur on the face, neck, arms and legs in children and adolescents.
Today, medicine does not have the means to completely eliminate HPV from the body. Therapy with immunomodulatory and antiviral drugs helps the body resist the development of infection. And its manifestations in the form of a variety of warts are eliminated using surgical and non-surgical methods.
For small warts, methods such as are applicable:
- Radio wave surgery;
- Laser coagulation;
If necessary, eliminate large growths along the path of surgical excision in a medical institution.
Surgical removal of warts
Medical indications for the use of a scalpel include:
- The presence of a malignant growth, which is confirmed by the results of histology;
- The large size of the wart (both in terms of surface area and depth);
- The urgent need to cut out the growth and the inability to use another way to eliminate it.
The process of removing the growth is subject to the following algorithm:
- Antiseptic treatment of the growth and healthy epithelium around it;
- That the patient was not hurt, the introduction of a local anesthetic;
- Excision of the neoplasm. The surgeon with a scalpel cuts out the wart (if necessary, capturing a healthy area). The extracted sample will be sent for histology to confirm its good quality;
- Applying a tight dressing to stop bleeding;
- Imposing a cosmetic seam or absorbable silicone patch. Sutures are applied for 7-10 days, and patches last about 14-21 days.
After the operation, the patient must follow the recommendations aimed at accelerating healing and preventing undesirable postoperative consequences:
- Daily treat the seams with an antiseptic (the name will tell the doctor);
- For several days (usually 5-7), postoperative sutures can not be wetted, apply any chemical agents on them, except those prescribed by your doctor;
- Do not tear off the scabs formed on the site of the former growth, in order to prevent the formation of rough scars;
- The first half a month – a month after the operation, do not expose the newly formed skin to the sun.
Radio wave surgery
The method of eliminating benign neoplasms using a radio wave scalpel or "radio knife" is gaining popularity. The essence of the method is the conversion of electric current into radio emission, which cuts through the tissue. Uninfected tissues remain intact, papilloma disappears without a trace. Before the operation, the duration of which varies from 10 minutes to half an hour, local anesthesia is introduced.
The advantage of the method is the bloodlessness of the procedure, the high removal rate without burns and the risk of infection spreading through the bloodstream.
The rehabilitation period after the operation with the radio knife does not differ from that after the traditional operation. As a rule, after such a procedure, no scars remain, the wound heals quickly.
Another modern bloodless and effective modern method of eliminating skin neoplasms is laser coagulation. The laser beam evaporates the growth layer by layer. If necessary, local anesthesia can be given, although an experienced specialist can burn a wart in a few minutes without pain.
The advantage of the method is the possibility of complete control over the operation. The laser removes very thin layers of the skin and stimulates the division of neighboring healthy cells, so that the postoperative wake will be small and softer.
During the operation, absolute sterility is maintained, since the laser beam disinfects the wound. The recovery period passes quickly, does not require special actions on the part of the patient, including abstinence from contact with water. This method is most often recommended for children and pregnant women.
After successful removal of the wart, the doctor prescribes antiviral and immunomodulating therapy. The point of taking medications is to support the immune system in the independent fight against HPV. In addition, a healthy diet, getting rid of bad habits, observing hygiene rules and treating skin lesions with antiseptic agents is recommended.