Surgical excision of corns is the oldest option to address the issue of excess skin growths. The procedure is still popular, despite numerous innovative analogues.
Some cosmetology centers offer their customers to use the special hardware pedicure service to get rid of old corns or corns. Farmers from medicine believe that the removal of a source of discomfort using a special apparatus and a milling cutter is the usual surgical excision.
Although the processing principle is kept identical in both cases, the present operation is somewhat different due to the presence of the preparatory stage and the instruments involved. The price of manipulation depends on the professionalism of the doctor, since each medical institution sets its own pricing policy. Also, the cost of drugs for local anesthesia will be taken into account.
Before you send the ward to the operation, a professional dermatologist will necessarily try to find out what was the primary source of the problem. This point of the preliminary stage is especially important for those people in whom the doctor has diagnosed a core format of corn.
So called those skin growths, which were transformed from the classic dry corn. Ingrown formations at first may not bring significant discomfort, but only make the appearance of the affected part of the body not particularly attractive. A little later, the lesion begins to give disease sensations that interfere with a normal active lifestyle. Particularly problematic are those injured who are faced with dead skin in the lower extremities.
At first they only provoke mild pain, and then become the catalyst for triggering the mechanism of development of arthrosis or arthritis. Having a negative effect on gait, they provoke an uneven distribution of the load on the feet. In the future, this alignment sounds a lesion of the knee and ankle joints.
The corns are reborn dry formations, which are dropsy thrown on gravity. The latter include subcutaneous vesicles filled with lymph. As soon as their contents burst, the wall of the growth sticks to its “bottom”, which allows to impose several skin layers on top of each other.
When pressing the cover, a yellowish tubercle is formed first. In the future, it starts up a spine, which distinguishes a real corn from dry analogs. Independently get rid of it will not work. Even with a successful undermining of the "hat", it will not be possible to clean the core well at home. Often the pieces of the roots remain inside, being unnoticed by an unsophisticated person. After a while, they restore their activity, which ends with the growth of the "hat" anew.
Because of this, it is so important to entrust the neutralization of the affected area to a professional who, with the help of sterilized instruments and his skills, will produce a quick excision of the horny tissues along with an extensive root system.
Causes of corn formations
One of the most important points aimed at restoring health is finding the root cause of the lesion. Since in most cases such growths are localized on the foot or on the toes, scientists associate their appearance with wearing uncomfortable shoes.
We are talking about non-physiological models, which are characteristic of cheap models. They are not adapted to the anatomical features of a person, which provokes:
- mechanical friction;
- unfavorable microflora.
Initially, people who choose the wrong shoes will complain about wet corns - dropsy, which, when squeezed out of a biological fluid, turn into dry analogues. In the absence of treatment of the last many victims, a long struggle is awaiting against a more serious manifestation of an illness with the rod. Their depth is able to reach several centimeters, reaching the deep skin layers, squeezing the subcutaneous tissue.
The most dangerous types of footwear doctors call copies with:
- narrowed front;
- high heels, especially with their low stability due to the tiny area of contact with the surface;
- uncomfortable insoles;
- rough seams;
- processing inside chrome.
The difficulty is added by the fact that many people prefer to buy low-quality new clothes because of their relatively low cost. But such things are usually created on the basis of non-ecological materials, glued with toxic compounds. Together, this causes skin irritation followed by the addition of fungal flora.
The risk group included those patients who often receive minor injuries of the lower extremities such as punctures or cuts, not caring enough for the problem area in the future.
Even an ordinary thorn, which was not paid due attention from the very beginning, threatens to become the primary source of problems due to the acceleration of the keratinization of a certain area.
Not less often, insufficiently-produced personal hygiene becomes the foundation for the corn field. They make themselves felt with the constant contamination of the skin. Due to the blockage of natural air exchange, the foot begins to sweat profusely, representing an ideal habitat for pathogens. Auxiliary factor is the violation of the temperature regime, which only accelerates the reproduction of pathogenic microbes.
The above refers to the main aspects that provoke the formation of corns. Sometimes they cooperate with subsidiary risks, which include:
- violation of blood circulation in the lower extremities;
- vitamin deficiency or hypovitaminosis;
- fungal, viral lesions.
With a lack of tissue nutrition, this only aggravates the clinical picture, which is often depressing already because of the pressure on the legs from the outside. So, diabetes mellitus is caused by damage to small vessels that are not capable of carrying out high-quality nutrient transport to the skin in the future. No wonder that in people suffering from this disease, corns are much more often covered with cracks and are affected by infectious pathogens. Such growths rarely heal, only periodically acquiring the form of a cornified crust.
By a similar algorithm, there are diseases that violate the usual microcirculation of the lower extremities. If the body also lacks the vitamins of group A and E, then this causes a decrease in resistance. Even microtrauma in such patients is a direct path to the formation of an extensive dry corn, which quickly takes root.
The final cause is a viral or fungal infection. This is especially true for those victims who have several times sought the help of a surgeon, but growing corns continued to appear on the same or other places.
A professional dermatologist is sure to send a ward to be tested first to determine the nature of the growth.
If you do not pass a clinical study, especially with frequent relapses, then further excision will be useless. We'll have to first find the cause inside the body so that in the future the disease no longer worried.
At first, corns with a stem, caused by a fungus or virus, are simply cornified skin. They later become inflamed and irritated. The skin in the heel area cracks, forming deep depressions. Due to the high dryness and inflammation of the corn - only a matter of time. After a couple of weeks, they, too, are covered with cracks, making walking a real flour.
That is why it is so important to make an appointment with a doctor right away so that he can conduct a primary examination, schedule a diagnosis, and then write out a referral for surgery. Otherwise, the disease threatens to turn into a chronic one, which makes it almost impossible to get rid of it.
Externally, the usual dry corn has a rounded shape, representing a yellowish tubercle, towering a few millimeters above the main cover. A fit does not immediately cause significant discomfort, except for the aesthetic component. Pain syndrome makes itself felt only after pressing or squeezing due to wearing uncomfortable shoes.
The boundaries of the dry formation are clearly delineated, and the surface of the "cap" is a smooth canvas without any significant roughness. There may be a reddish area around the yellow bumps, indicating an inflammatory process. After a while, dry corn becomes a platform for transformation into a core solution.
To notice with the naked eye when the transformation took place is quite difficult. Recognize the spine will turn out, if you carefully look at the center of the tubercle, where the point can be viewed. It is the beginning of the rod, going far into the deep tissues. It turns out such a mushroom itself, the tip of which can sometimes fall off when a person attempts to clean the callus himself with improvised means.
Then the patient will be able to see a small depression in the center of the torn crust, in the center of which is a leg. The cavity itself remains red and edematous, and sometimes bloody discharge comes from it.
The problems start from the moment the leg is sweating or getting wet, which provokes a change in the type of rod that becomes similar to a fringe. If, however, continue to ignore their state and at such a neglected stage, then this in most cases leads to infection.
Such growths are accompanied by increased pain, with the release of ichorus under strong pressure. Not only mechanical pressure or friction, but also papillomavirus provokes deterioration.
The favorite places of localization of single growing calluses or immediately their fields are:
- foot pads;
- the outer part of the little finger and thumb;
- heels, especially in the center;
- interdigital space.
Sometimes the manifestation of pathology is found even on the palms, which is characteristic of people whose professional activity is closely connected with the use of building and engineering tools. Stages of exacerbations often fall out on a drop in immunity, improperly selected remedies for skin care of the feet, as well as after a serious illness recently suffered. This provokes dry skin, irritation, reducing the thickness of the skin, reducing the elasticity and blueness of the nail plates.
Indications and Contraindications
Doctors say that surgical techniques still occupy one of the leading places in the effectiveness of the neutralization of corpuscular tumors.
This is explained by the ability of the tools to get to the deep skin layers, which is unlikely to be achieved when using the hardware pedicure technique or liquid nitrogen.
The only drawback is the formation of scar tissue or a small scar at the site of the cut.
Most potential patients are willing to come to terms with similar side effects in order to reduce the risk of relapse when the root is not fully pulled out. The latter often happens to those victims who prefer other solutions to the issue. Such an approach does not just not solve the problem, but vice versa - it aggravates it even more.
The basic medical indications for surgical intervention are called:
- irritation with itching;
- redness with swelling;
- bloody issues;
- color changes.
In such a situation, it would be more effective to agree with the doctor who offered the excision. For this purpose, only sterile equipment is involved. To reduce pain during removal, medical staff conducts local anesthesia.
To achieve an optimal result, it is important to first clarify the possible presence of an allergic reaction in the affected person. To help in establishing the truth can allergy test, leveling the likelihood of anaphylactic shock.
Also at the preparation stage, the doctor will acquaint the patient with contraindications. Their list includes pregnancy and some chronic diseases.
Some victims naively believe that as long as the growth is not painful, it is better not to touch him, but he will leave himself. Indeed, there have been cases in medicine when dry calluses went off on their own when changing the top layer of skin. But not all patients with the story ended so rosy.
If a person is tormented by pain in the affected area, the callus is inflamed, or is overgrown with a rod, then it is better not to postpone a visit to a dermatologist.
In the most unfortunate scenario, a person may become a victim of extensive blood contamination due to infection through an open wound surface.
In addition to going to the doctor, you should listen to his recommendations regarding the recovery period. It is about the need to adhere to the correct rules of personal hygiene, in time to change dressings with antiseptic and antibacterial agents.
At first, it will not be possible to wet the wound, so bathing in the bathroom and open water will be prohibited. Also, the doctor may prescribe drugs to stabilize the state of health, if the patient is admitted with extensive inflammation.
It is forbidden to change medicines at your discretion, adjusting the dosage. Only in this way will it be possible to recover quickly and without significant health effects.