Ways of wart removal
Excision by the laser. Laser application is one of the newest methods of excision of warts. The predominating effect of the laser consists in evaporation or coagulations of skin cells. A wart is removed by means of the laser under local anesthesia for 1-2 minutes. Time of influence and depth of penetration of a laser beam depend on depth and formation localization. New laser apparatus give the minimum complications in the form of cicatrices, hypo and hyperpigmentation. There, where there was a wart earlier, there is a small excavation which is leveled in 2 weeks.
A cryolysis liquid nitrogen is excision of warts by means of low temperatures which cause destruction of tissues as a result of deep frosts. The cryolysis is spent by liquid nitrogen by means of an applicator looking as a wooden rod in length of 25 30 sm on which extremity the wad from cotton wool is densely fixed. Also there can be used a radiographic cone-tank for liquid nitrogen with replaceable metal handpieces of a various configuration.
Depending on size of a wart freezing time makes 10-30 seconds. In the course of freezing by liquid nitrogen the wart starts to turn pale, becomes white and dense, in a minute after freezing there is a hyperemia and a wart edema. After some hours it is formed an epidermis bubble with serous or hemorrhagic contents which may stay for 5-7 days. Gradually bubble contents decrease and on its place the dense crust is formed which in 10-12 days is torn away leaving hardly noticeable pink maculae. For excision of plantar warts longer exposition with the big pressure (30-60 seconds) is required. Freezing is repeated by 3-5 times with an interval in 3-5 days.
The electrocoagulation is a wart leaves by means of a surgical coagulator (under local anesthesia). The current of high frequency arrives to a thin metal loop – it cuts off and coagulates surrounding tissues. Very fast warming of tissues allows avoiding a bleeding and diffusion of the cells infected with a virus to healthy tissues. For the subsequent histological research the deleted material remains. After an electrocoagulation the small crust disappearing on the average in week is formed, at deep excision of a wart there can be a hardly noticeable, light, flat small cicatrix.
For treatment of youthful warts it is supposed skins burning of liquid nitrogen. Thus an applicator moves with fast rotary motions at small pressure move on a processed site to an easy blanching of a skin.
Procedure is spent 3-4 times with short intervals (1-2 minutes) and in 5-7 days the skin surface darkens and peels, and after a wart disappear. Taking care of a skinduring the treatment and it is necessary to wipe it with 2 % a solution of salicylic alcohol.
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