General surgery

General Surgery (Lumps and Bumps)

What is a benign skin lesion?

Benign skin lesion is an umbrella term for a range of lumps and bumps including moles, cysts, keratoses, skin tags, calluses, corns and warts.

What are the symptoms of benign skin lesions?

Each makes its own mark on the skin and can be unsightly, itchy or in extreme cases an obstacle to free movement or function.

When should I seek treatment for benign skin lesion?

Benign skin lesions are usually harmless and do not need to be removed. However, you may be advised to have a skin lesion removed if it interferes with your everyday life or it becomes cancerous.

You may also decide to have a skin lesion removed because you do not like the way that it looks – removal for cosmetic reasons is not funded by the NHS.

What does the treatment of benign skin lesions involve?

Treatment will depend on the size of the lesion, how deep it is and where it is on your body. Benign skin lesion removal takes place under local anaesthetic.

Depending on the benign skin lesion to be removed, you may experience one of the following procedures:

  • Partial removal, where your surgeon ‘shaves’ the lesion off at its base so it is at the level of the surrounding skin. This may be combined with a technique called cautery which seals the skin and stops bleeding. This method is used for lesions such as keratosis, skin tags and ‘shallow’ moles.
  • Complete removal, where the entire lesion is surgically removed. Your surgeon will remove the lesion and some of the tissue around it and you may need stitches afterwards. This is a technique used for larger moles or for lesions which are suspected to be cancerous.
  • Curettage is where your surgeon will gently scoop away the lesion and is generally used for warts. It is often combined with cryotherapy or cautery.

Waiting times

Referral to first assessment 3 weeks.

About the service

Our NHS general surgery clinic is performed by consultant surgeons supported by a dedicated nursing team.

Service eligibility

We accept all referrals from accredited GPs

Before your operation

On being referred to us for general surgery you will be contacted by our friendly staff to arrange a convenient appointment usually within two weeks of the referral.

At your initial consultation you will be assessed by either Mr Yousefpour or Mr Mohammed-Ali. You can ask any questions around your care during this appointment. Your initial appointment includes a full assessment. Your appointment takes approximately 15 minutes. You may be required to have further investigations which the consultant will discuss with you. If an operation is required this will be discussed in detail and you will be taken through the risks and benefits of the procedure and will sign a consent form with the consultant.

Following this appointment you will be given a date for your operation and a date for MRSA screening. Prior to your operation the MRSA screening result is checked in order to ensure it is negative.  If it proves positive your operation will be cancelled and you will be prescribed antibiotics and screened again for MRSA prior to being re-listed for your operation. You are not able to have your operation until your MRSA screening is negative.

Find out more about MRSA

On the day of the operation

Your operation will be performed by either Mr Yousefpour or Mr Mohammed-Ali. You will see the consultant that you originally saw for your outpatient appointment. We hope this will put you more at ease when attending our day surgery unit.

On arrival you will be received by our reception staff and nursing staff who will support you through our pre-admission process. Prior to your operation nursing staff will take your blood pressure and do vital observations.

You will then be seen by the consultant prior to your operation and you can ask any questions related to the operation. You will then be taken to the operating theatre for the procedure which usually takes about an hour.

After the operation you will be given post-operative instructions regarding wound care and after care advice. A contact number is also provided for if you have any concerns.

If you do have any concerns or problems after the operation please contact the surgery and speak to a member of our admin or healthcare team so that arrangements can be made for you to be seen immediately.

Aftercare

You will be seen at Phoenix Health Solutions for a post- operative check up by the consultant at the time specified on the day of your surgery.  You may be given an appointment for stitch removal and/or a wound check appointment in the interim period. You will be seen for these by one of the nursing staff that assisted on the day of your procedure.