Skin & Soft Tissue Disorders

Skin and soft tissue disorders encompass various conditions affecting the skin and its underlying tissues, often arising from infections, inflammation, trauma, or abnormal cell growth. Typically, these disorders occur when the balance of skin integrity and immune response is disrupted, leading to conditions that can be painful, unsightly, or even life-threatening. 

Some common examples of skin and soft tissue disorders often requiring surgical intervention include:

• Abscesses and complex wounds
• Cellulitis
• Cysts that are large or complex
• Hidradenitis Suppurativa
• Lipomas
• Skin cancer 
• Suspicious nevi
  
  

Treatments for Skin and Soft Tissue Disorder

Surgical treatments for skin and soft tissue disorders are designed to remove diseased tissue, drain infections, and prevent recurrence while preserving as much healthy tissue as possible. The type of surgical approach depends on the specific condition and its severity.

• Excision is commonly used for removing abnormal tissue, such as cysts, lipomas, or skin cancers. In cases of malignancy, excision may include removing a margin of healthy tissue to ensure complete removal.
• Debridement is recommended for wounds with dead or infected tissue to reduce infection risk and support healing.
• Mohs Micrographic Surgery is used primarily for skin cancer removal, allowing for precise removal of cancerous tissue while preserving as much healthy skin as possible.

Patients should discuss their treatment options with a specialist to determine the most effective surgical approach based on their diagnosis.

Are You a Candidate?

In some cases, skin and soft tissue disorders can be managed effectively with non-surgical treatments such as medications, topical therapies, or lifestyle modifications. 

However, when conservative measures fail, or the condition presents with more severe symptoms, surgery may be the most effective option. Some common signs that might indicate a patient is a candidate for surgery include:

• Severe pain
• Rapid or unusual growth
• Signs of infection (redness, swelling, warmth)
• Functional impairment
• Evidence of malignancy
• Failure of conservative treatments
• Recurrence of lesions or diagnostic uncertainty

What to Expect

Before Surgery

Before surgery, patients undergo an evaluation that includes reviewing medical history, a physical exam, and diagnostic tests to determine the best treatment plan for their specific case. Preoperative instructions are then provided based on the specific disorder.

During Surgery

During surgery, the approach is tailored to the condition. Minor procedures like abscess drainage or cyst removal may be performed under local anesthesia, while more complex surgeries such as skin cancer excision might require sedation or general anesthesia.

After Surgery

After surgery, patients receive guidance on wound care, pain management, and activity restrictions. Recovery time varies—from rapid healing after minor procedures to a longer recovery for more extensive skin and soft tissue disorder interventions.

Recovering from a Skin and Soft Tissue Disorder Surgery

Recovery after surgery for a skin or soft tissue disorder generally involves careful wound care, pain management, and gradual resumption of normal activities, which may range from days to weeks. During this time, patients are typically also given specific instructions on cleaning the surgical site, applying dressings, and monitoring for any signs of infection. 

Follow-up visits after surgery allow the healthcare team to assess healing progress and make adjustments to care if needed. While minor procedures may allow for a quick return to daily routines, more extensive surgeries might require a longer recovery period and temporary activity restrictions.

Potential Risks and Side Effects of Surgery for Skin and Soft Tissue Disorders

Skin and soft tissue disorders are one of the most common reasons patients undergo surgery. While these surgeries are generally smooth and predictable, as with any surgery, there is always the possibility for risks and side effects, including:

• Infection: The surgical site may become infected, requiring antibiotics or further treatment.
• Bleeding: Although controlled during surgery, some bleeding or bruising may occur postoperatively.
• Scarring: All surgical incisions result in scars, which can vary in appearance and may be more pronounced in some individuals.
• Pain and Discomfort: Postoperative pain is common and usually managed with medication.
• Delayed Healing or Wound Dehiscence: In some cases, wounds may heal slowly or reopen, particularly if stressed during recovery.
• Anesthesia-Related Reactions: Although rare, some patients may experience adverse reactions to anesthesia.

While serious complications are rare, these risks and side effects underscore the importance of following all post-procedure care instructions and promptly reporting any concerning symptoms to your healthcare provider.