Can General Surgery Clinics Perform Excision for Skin Issues? - Dermatology

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Yes, general surgery clinics can perform excisions for various skin issues, including problematic cysts, tumors, or lesions that may arise from conditions like acne. In your boyfriend's case, where a pimple has enlarged, become raised, and darkened, it is prudent to have it evaluated by a surgeon. This is especially true if the dermatologist has recommended surgical intervention, as they may suspect that the lesion could be more than just a typical acne lesion.

When it comes to the logistics of the excision, several factors come into play. First, whether the procedure can be performed at a general surgery clinic or if it requires a larger hospital setting often depends on the complexity of the case and the resources available at the clinic. Many general surgery clinics are well-equipped to handle minor surgical procedures, including excisions, and can perform them safely in an outpatient setting. However, if the lesion is suspected to be malignant or if there are concerns about the surgical site (such as the need for extensive reconstruction), a referral to a larger hospital may be necessary.

Regarding the timing of the procedure, it typically depends on the clinic's schedule and the urgency of the situation. If the lesion is causing significant discomfort or has signs of infection, the surgeon may prioritize the excision and perform it on the same day. However, if the situation is not urgent, the surgeon might schedule the excision for a later date, allowing for proper preparation and ensuring that all necessary resources are available.

It's also important to consider the follow-up care after the excision. Post-operative care is crucial for healing and minimizing scarring. The surgeon will provide specific instructions on how to care for the wound, signs of infection to watch for, and when to return for follow-up visits.
In summary, general surgery clinics can indeed perform excisions for skin issues, and whether the procedure is done on the same day or scheduled for a later date will depend on several factors, including the clinic's capacity, the urgency of the situation, and the nature of the lesion. If you have a referral from a dermatologist, it is advisable to discuss all these details with the surgeon during the consultation to ensure that you and your boyfriend are well-informed and prepared for the procedure.