Roohealthcare.com – If you have symptoms of polyps, your doctor may suggest that you undergo a surgical polyp removal procedure. While a doctor may be able to diagnose the type of tissue a polyp is made of, it is often more effective to remove the entire polyp. If you experience any of the following symptoms, it is time to make an appointment with a plastic surgeon. Depending on the size of the polyp, you may need several treatments to remove it.
Types of Polyp Removal Surgery
Large polyps often require surgical removal. There are two types of polyp removal: endoscopic mucosal resection and saline assisted piece meal polypectomy. The first involves injection of submucosal saline and the latter involves a hot snaring. The second type, known as saline assisted piece meal polypectomy, involves removing the polyp in one piece.
Large polyps with a diameter of 2 cm can be removed endoscopically, though many patients are still referred to a surgeon for a more invasive procedure. Endoscopic polyp removal is more effective on large polyps than it is on small polyps, though this option does come with higher costs and greater hospital stays. In contrast, a polyp removal procedure can be performed by a gastroenterologist who has considerable training and experience.
While EMS can remove small polyps, it is not recommended in the early stages of cancer, which often requires a submucosal invasion. Although EMS can remove a 10 mm polyp, the process can leave submucosal damage, and there is a risk of bleeding following the procedure. Therefore, careful examination is necessary before undergoing EMS. The patient was referred to surgery without any incident.
Effective Ways for Large Polyps
Large polyps are difficult to snag. Large polyps may have thick, encapsulated submucosa that prevents the snare from being able to disengage from the polyp. A simple technique to release the snare will work for small polyps while sliding over the entrapped submucosa will be more effective for larger polyps. During the polyp removal, the surgeon may have to perform back flushing afterward to clear any submucosal debris.
Most patients undergo a colonoscopy at least once to have a polyp removed. However, polyps discovered during diagnostic colonoscopy may be difficult to remove during the same procedure. In such cases, a second procedure may be necessary to exclude cancer from within the polyp. For this reason, patients must discuss the pros and cons of the procedure with their doctor before making a final decision. There are many types of polyp removal procedures that are available, and a good physician will be able to help you choose the best procedure for you.
The most common types of polyp removal are colon and uterine polypectomy. While polyp removal is relatively safe and effective, some patients may experience a slight amount of pain. However, many polyps are benign, and the risk of a malignant development is slim. In addition to the cosmetic benefits, polyp removal can prevent colon cancer. The procedure also has a low risk of complications. If you have any suspicions that your polyp is malignant, it is wise to seek treatment sooner than later.
Perform a Polyp Biopsy to Determine the Type
After the procedure, the doctor will take a biopsy of the polyp to determine its type. Some doctors are unable to distinguish between adenomatous and serrated polyps just by looking at them, so they remove them. The tissue will be examined under a microscope to determine the type of cancer and whether or not it has turned into one. If the biopsy turns out to be negative, it may be necessary to undergo surgery to remove it completely.
In most cases, the surgeon will remove a small polyp by cautery or cold-snare. Larger polyps, however, should be biopsied to determine whether or not they are malignant. Endoscopists avoid doing procedures on the index because they make subsequent endoscopic resections more difficult. Tattoos under or very close to the polyp can also cause scarring. Adenomas should not be removed if they are large enough to cause significant pain.
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