ELECTROSURGERY

Electrosurgery is a non-invasive surgical intervention method used in various fields of modern medicine. In dermatology, the primary tasks of electrosurgery are related to the removal of various benign formations and capillary telangiectasias. This involves the gradual destruction of biological tissues using alternating electric currents with high frequencies (200 kHz-5.5 MHz).

By varying and modulating the high-frequency current, the waveform can be altered, allowing for different degrees of impact on body tissues. Electrosurgical medical devices can operate in both pulsed and continuous modes. Pulsed electrical current is essential for electrocoagulation, while continuous current is necessary for performing incisions and cuts.

In dermatology, there are several destructive methods for treating skin formations:

• Surgical excision: Primarily performed when there is suspicion of malignancy.
• Electrosurgery: Removal of individual formations using an electrocoagulator.
• Cryodestruction: Destruction using various cryogens, primarily liquid nitrogen.
• Chemical: Chemical cauterization using special chemical solutions.
• Laser: Removal of formations using laser equipment.
• Radiosurgery: Removal of formations using radio wave equipment.

Each of these methods has its advantages and disadvantages. With surgical excision, a more or less noticeable scar remains in any case. The electrosurgical method tends to leave less noticeable scars. In the cases of removal with liquid nitrogen and chemical solutions, it is quite challenging to determine the depth of the damaging effect of these reagents, which often leads to the formation of undesirable scars and prolongs the healing process. Additionally, there remains a chance that the skin formation will not be completely removed.

The decision on which method to use is made by the dermatologist based on the examination of the formation using a digital dermatoscope.

At the “Marjanishvili Clinic,” the removal of capillary telangiectasias, papillomas, condylomas, warts, and other skin formations (fibromas, atheromas, keratomas, keratoacanthomas, “skin horns,” etc.) is performed using the electrosurgical method. The procedure is carried out under local anesthesia. After the procedure, a scab and a small indentation remain on the skin, which heals within 1-2 weeks.

Patients with any manifestation of new skin formations should consult a dermatologist to determine the most effective treatment method. The approach to treating new skin formations should be individualized and meet the patient’s needs. In most cases, this involves the removal of the formations.