The appearance of papillomas on the body is due to damage to the body by the human papilloma virus. These neoplasms do not pose a danger to life, but only on condition that they are not injured and do not change in size. If any changes still occur, then you need to urgently consult a doctor.
Most often, a specialist makes a radical decision – removal. Naturally, questions immediately arise about where papillomas can be removed and whether this procedure can be carried out for free under the compulsory health insurance policy.
Before deciding whether to treat papillomas or nevertheless remove them, the doctor needs to conduct a special diagnosis, as a result of which he will not only identify the strain of the virus, but also find out whether the growth of the growth into a malignant tumor has begun.
To this end, a number of studies are carried out:
- PRC. This technique is considered the most accurate, since it is the polymer chain reaction that can detect the virus even at a low concentration;
- Cytological method – carried out in the presence of genital warts in women, scraping is taken from the surface of the cervix;
- Colposcopy. A study of the cervix using a special device – a colposcope;
- Biopsy – a tissue sample is taken for further examination under a microscope;
- Digene test – the method allows not only to identify the virus, but also to determine whether the tumor is oncogenic.
How to remove papillomas: basic methods
In order to remove papillomas for a fee or by mandatory medical insurance, you can choose one of several ways:
- Laser therapy – the growth is removed under the influence of a laser. This procedure is safe and virtually painless. The risk of bleeding is absolutely eliminated, blood vessels instantly fade. The possibility of further scarring of tissues is also minimized, since during the operation the specialist independently adjusts the penetration depth. The nearby tissue is not damaged;
- Cryodestruction – the growth is removed under the influence of liquid nitrogen. The procedure is painless and simple, but sometimes one session is not enough. This is due to the fact that the doctor can not always accurately adjust the depth of penetration;
- Electrocoagulation – high or low frequency current is applied. The advantage of the method is that after the operation, material remains for a subsequent biopsy;
- Radio wave method – excision is performed with a special radio wave scalpel. After excision, there is also material for histological examination;
- Scalpel excision – they resort to this procedure extremely rarely. They resort to it only when it detects a large papilloma. The operation is performed under local anesthesia using a scalpel. In most cases, scars remain on the site of the papilloma.
Where to remove papillomas: in the clinic for compulsory medical insurance or in a private clinic
Naturally, private clinics are equipped with more modern equipment than public health facilities. That is why many resort to their services, in spite of the higher prices. But in addition to this, it is necessary to take into account the place of localization of growths.
It directly depends on which specialist you need to contact and where to treat:
- The growth is localized on the cervix – you need to contact a gynecologist, who will determine whether the neoplasm needs to be removed. The operation can be carried out in any hospital where there is a surgical department;
- Papillomas on the eyelid or around the eye – removal is performed in the ophthalmic surgical department;
- Treatment with papillomas on the neck and face should be done by a dermatologist. If necessary, he can give direction to an oncologist.
Preparing for the removal procedure
Regardless of whether the removal will be performed free of charge by the state medical institution by compulsory medical insurance or in a private clinic for money, the patient must undergo a number of tests before the operation:
- Clinical blood test;
- General urine analysis;
- HIV test;
- Detection of hepatitis in the body;
- Biochemical analysis;
- Wasserman study.
Before the procedure itself, it is highly recommended not to be in the sun for a long time, visit a solarium and use all kinds of drugs directly in the area of growths.
Does the removal of papillomas in the policy of compulsory medical insurance
A whole, intact papilloma is considered only a cosmetic problem, due to which its removal is not performed free of charge. If the growth is constantly damaged, bleeding, inflamed, causes pain and itching, then it already poses a threat to the patient’s health and is subject to free excision.
In order to get a referral to this procedure, you need to contact the department of the clinic at the place of residence. The surgeon and oncologist are those specialists who deal with this problem. If the neoplasm causes certain concerns, but was not injured, then the attending physician may enter the situation and still carry out an operation on the policy of compulsory medical insurance.
Laser therapy: pros and cons
Laser excision is a reliable and safe way to remove papillomas. It is carried out in layers. The high temperature of the laser allows you to immediately disinfect the treated area.
The procedure is performed exclusively under local anesthesia. The specialist during the operation destroys the body of the growth in layers. One growth is removed in just a couple of minutes. You can remove several neoplasms in one procedure.
The advantages of this method:
- Sterilization of wounds;
- There is no risk of bleeding;
- Nearby tissue is not damaged;
- The recovery period is quite short.
Disadvantages of laser excision:
- After the procedure, there is no material left for subsequent histological examination;
- Patients who are too sensitive to the effects of ultraviolet radiation and laser, in the postoperative period notice swelling and redness in the treated area of the skin, the appearance of vesicles, as with a burn, is also possible. If the wound is properly managed, all side effects will soon disappear.
Rehabilitation period after surgery
Regeneration of the skin after surgery is a fairly quick process. Wound healing is noted approximately not the third week after the excision procedure. In the same period, redness also disappears. But this process is purely individual. There are no clear deadlines.
The rehabilitation process involves refusing to visit public pools, saunas and baths. It is extremely undesirable to swim in open water. The skin must be protected as much as possible from exposure to ultraviolet rays. It is especially important to ensure that no chemicals enter the treated areas.
How to avoid relapse
The question of where to remove the papilloma is not even as important as subsequently avoiding its reappearance. The human papilloma virus cannot be treated; it can only go into the inactive phase. Naturally, no matter how qualitatively the operation is performed, papillomas can appear on the body again.
To avoid the reappearance of growths on the body, it is necessary to observe a whole series of rules:
- Complete rejection of bad habits;
- Strengthening a suppressed immune system;
- Proper, balanced nutrition;
- Regular exercise;
- Frequent walks in the fresh air;
- Full relaxation and sleep;
- Lack of stressful situations;
- Timely treatment of all manifested diseases, including respiratory;
- Compliance with the daily routine;
- Lack of excessive physical exertion;
- Compliance with personal hygiene.
Only if the body is strong, able to fully resist the virus, you can not worry that remote tumors can reappear.
The procedure for removing papillomas is a safe, fairly painless operation that can be performed by both the attending physician in a state hospital and a specialist in a private clinic. The MHI policy is valid only if the integrity of the papilloma has been damaged. If the growth is only a cosmetic defect, then its excision will be paid.