More About Surgical Excision
The oldest approach; surgical excision is generally considered a last resort option for those who have experienced multiple treatment attempts. Some consider this approach to be contraindicated due to high recurrence rates, scarring and possible cyst formation.
How does this treatment work?
The simplest of all wart treatments – The clinician surgically removes the wart from the body using a scalpel or a technique known as curettage; essentially “scooping” the wart out of the body. Local anaesthetic is often used to limit pain levels. Due to problematic scarring, especially on the sole of the foot, this technique is typically reserved for flat or filiform warts.
How effective is this treatment?
While the treatment is highly effective in removing the wart itself, clinicians are seldom able to excise deep enough to ensure non-recurrence. The virus often remains viable in the tissue beneath the excised area. Agitation of the are known as the “Koebner phenomenon” will encourage spreading of the virus, making this a less than favorable treatment option.
What can patients expect when receiving this treatment?
Typical Treatment Protocol:
- Treatment is considered a minor surgery and can be performed in the clinic
- Local anaesthesia is commonly injected into the tissue surrounding the wart prior to excision.
- The wart and some surrounding tissue is cut out of the body
- The site is then commonly disinfected, sutured and bandaged to ensure proper healing
- Due to the anasthesia required, the pain levels remain low during the treatment
- Post procedural pain varies based on size of excision and location of the wart
- One must be careful to adhere to clinician guidance re: bandages and cleaning of the site.
- Follow up for assessment will be dictated by the clinician, but important to ensure that the wound is healing properly.
- Problematic scarring
- Chance of infection and cyst formation
- High levels of recurrence
Where can I receive this treatment?
All podiatrists and dermatologists will have the ability to excise surgically, however they may not recommend the treatment due to aforementioned complications and the availability of more efficacious methods.