DR ALISTAIR PARTNERSHIP Golborne Your appointment has been made for; …………………………………….. . …………………………………….. Minor surgery clinics A573 Wigan Road B5207 Ashton Road Dr Alistair Partnership Kid Glove House At Church Street …………………………………… Kid Glove Road Golborne High Street Bridge Street CANCELLATIONS If you need to cancel an appointment please give us at least 48 hours notice so we can offer your slot to another patient. TELEPHONE : 01942 481690. Lowton Road A573 Newton Road Lowton Church Lane A580 East Lancs Road B5207 These Practices operate within: Ashton, Leigh & Wigan PCT Bryan House 61 Standishgate Wigan, WN1 1AH Tel: 01942 482711 www.doctor-al.com Golborne* Kid Glove House Kid Glove Rd, Golborne WA3 3GS Tel: 01942 481690; Fax: 01942 481697 BEFORE YOUR APPOINTMENT Make sure you are fit and well. If you do smoke, try and give up as smoking increases the risk of infection and also slows down the healing process. Please let the doctor know if you take Warfarin, Aspirin or Clopidogrel as you may bleed more during surgery. Please ask us any questions you have about your operation, especially if you are anxious about anything. It is important you understand the procedure you will have, with the reasons it is being done and any possible complications that may occur (including scarring). THE PROCEDURE Please wear appropriate clothing to your appointment, i.e. clothing that can easily be removed to allow access to the area requiring surgery. The surgical instruments we use are disposable and overall there is an extremely low rate of infection associated with this type of surgery. Most of the operations are done under local unaesthetic (area of skin involved is made numb so you feel no pain) so you remain fully awake. You may feel stinging from the anaesthetic injection. The effect of the anaesthetic wears off after a few hours. After the lesion/ lump has been removed we send it to the hospital laboratory for examination and to make sure it dose not represent any risk of your health. If you have had a skin tag or similar lesion removed by ‘curettage and cautery’ you are unlikely to need stitches. This method uses directed heat to remove lesions and control bleeding. AFTER THE PROCEDURE If your procedure involved the use of stitches, the doctor will advise when to make an appointment to have them removed. As we only use local anaesthetic you will be able to drive home afterwards and resume light activities the following day. It is best to avoid any strenuous activity that may cause bleeding or increase infection risk. You are adviced to keep the wound clean and dry for 24 hours (longer if specified by the doctor). If your wound bleeds, apply firm pressure for 15 minutes. If it dose not stop contact the surgery for advice. The wound will be painful for 24-48 hours. If the pain is not improving after r this please contact the surgery for advice or an appointment. If the wound becomes very red or starts to discharge pus, please call the surgery to arrange an appointment (do not wait until you are due to have your stitches removed). The wound will take between 1-3 weeks to heal depending on nature and size of lesion. RISK ASSOCIATED WITH MINOR SURGERY All minor surgery will leave some degree of scarring. Most scars will be pale but occasionally they become dark or pigmented. Scars usually heal or fade over time but the level of scarring varies from person to person. Keloid scars and heterotrophic scars (overgrowth of dense fibrous scar tissue) can occur in any individual but are more common in people with darker skin and in certain areas on the body (e.g, chest above nipple line). The doctor will avoid surgery on more risky areas. If you have any concerns about scarring you must speak to the doctor before you have your procedure. There may be some nerve damage. Significant damage is rare but it is common for patients to experience minor degrees of altered sensation on or near the scar area and in some cases this can be permanent. There is a risk of bleeding, both during and after the procedure. This is more likely to occur in larger and deeper lesions, lesions on the scalp, face and if you are taking Aspirin, Warfrain or Clopidogrel. The doctor will endeavour to minimize bleeding during the procedure. The lesion may return after treatment or you may develop a new/similar lesion. This is most common with cysts and lipomas.