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Case Studies Detail.

A lipoma is a slow-growing, soft, benign fatty lump under the skin, which may cause discomfort and concern — but are harmless. When they notice an odd bump on their body, many wonder what is a lipoma, as it is one of the most common soft tissue conditions in adults. It is not likely to go away on its own without treatment, and is likely to grow over time if not treated. This case study aims to show how a patient who had been suffering from a lipoma on his back for 3 years finally resolved the issue of his lipoma permanently with the help of safe surgical removal at Healing Surg.

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Lipoma Excision — Back of Trunk

Patient Name

Sharmin Akter

Gender

Female

Age

32 Year Old

Acquired Diseases

Lipoma — Present for 3 Years

Operating Surgeon

Md. KM Shohag

Duration of Treatment

14 Days

Treatment Results

Complete Excision — Full Recovery

Cost of Treatment

৳6000≈

About Case

The case concerns a 32-year-old man who came with a soft, painless lump which is slightly lateral to the midline of the back of the trunk. It had been progressively enlarging over some 3 years. No significant medical history and otherwise good health. His main concern was cosmetic and occasional discomfort in lying flat, and carrying a bag against the back. On examination the lump was non tender, soft, well defined and free-moving, which is typical of a benign lipoma. 

No inflammation, fixity or skin changes were detected. A diagnosis of lipoma was made and the plan was to have it done under local anaesthetic.

Symptoms Encountered

At consultation the patient stated the following: A slowly growing soft swelling that has been there for 3 years on the back. Mild discomfort on pressure over swelling.

No pain at rest, no change in the skin, no fever or inflammation
Cosmetic concern and self-consciousness about the visible lump
No previous treatment or aspiration attempts history

Challenges And Treatments

The lipoma presented clinically as a simple tumor but careful planning was necessary to assure a free and complete removal and minimal scarring. Positioning the patient slightly off-center back and also holding the surgical field carefully, was important at this point.

Challenges Encountered

The goal was to remove the lipoma entirely through the smallest possible incision while maintaining clean tissue planes throughout the procedure.

Ensuring complete capsule removal to prevent recurrence
Minimising incision length for optimal cosmetic outcome
Achieving adequate haemostasis in the subcutaneous layer
Avoiding disruption to surrounding healthy tissue

Brief Procedure

This was done under local anaesthetic in our surgery centre. Thorough skin preparation with sterile draping was done before a 3cm linear incision was made directly over the lipoma. The lipoma was carefully dissected off the surrounding subcutaneous tissue, keeping the capsule intact to ensure complete removal. Haemostasis was secured and closure was in layers. A superior wound eversion and tension distribution is achieved with the use of 4 vertical mattresses sutures that were particularly suitable for the back where skin tension is greater. At the end of the procedure a sterile dressing was applied.

Treatment Results

The specimen of lipoma excised was subsequently subjected to histopathological examination, which revealed a benign mature lipoma with no atypical features. The procedure was well tolerated without any intraoperative or postoperative complications. Excision with one single 3cm incision; Complete excision.

4 vertical mattress sutures to close wounds.
Patient leaves the hospital that day with instructions for aftercare provided. 
Sutures that were removed at follow-up, wound healed well with minimal scarring. 
Patients reported their full satisfaction with the outcome and experience.
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Healing begins with the right care — compassionate surgical solutions for a better tomorrow.

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Multiple Locations: Uttara, Mirpur, Savar, Gazipur

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