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Winchcombe Medical Centre

Minor Skin Procedures
A skin procedure has been arranged for you. It should be quick (15-30 minutes) and simple,
but please note the following:
1. A local anaesthetic with adrenaline will need to be used to numb the area - this is usually given very quickly and with minimal discomfort. Please mention to the nurse or doctor any possible allergic reactions to local anaesthetics that you may have had in the past before the operation begins.
2. Please tell the nurse or doctor about any other tablets that you are taking (especially Warfarin, Clopidogral, or Aspirin), or if you are pregnant. You must mention any medical condition that you have which you think might prevent you from having your procedure. Please tell us if you have had a local anaesthetic already today (e.g. dentist).
3. Stitches may be required for your wound which will usually need to be removed by your practice nurse at a later date. You will be advised by the doctor about this depending on what is being done.
4. You will have a scar afterwards which will heal but will also be permanent.
5. You should be given wound advice post operatively. If you care for your wound the scarring can be minimised.
6. Complications after skin surgery are usually minimal but can include bleeding, infection and scarring. Please read the post-operative advice carefully.
7. You should eat and drink as usual both before and after your operation and you will be able to drive safely after the procedure under normal circumstances.
Post Operative
After your procedure today you will have a small scar which, which although permanent, can be minimised if you adhere to the following advice:
1. If you have stitches in your wound, they will need to be removed in 14 days time by the practice nurse. Please arrange an appointment with the appropriate nurse. Take this form with you.
2. Keep your wound dry for 48 hours. Wear a waterproof plaster if bathing or showering which should be removed afterwards. Keep the wound as clean as possible at least until the stitches are removed. If clothing rubs on the wound, keep it covered with a breathable dressing/dry plaster
3. All wounds: apply VaselineTM once or twice daily for 2-3 weeks after the procedure to protect the healing skin. You may be asked to use an antibiotic cream or silicone gel/dressing instead, depending on the site of the wound. The doctor/nurse will advise you about this after your procedure.
4. If you have steri-strips/paper stitches over the wound, continue to apply them as directed for at least 4 weeks after removal of the sutures or after the ends have been snipped. This will reduce the tension on the wound and improve scarring.
5. If you have had a curettage and cautery procedure, no stitches will be needed. The wound will resemble a graze and does not require a dressing for more than 24-48 hours after which time it can be left exposed at your own discretion. This wound type is slower to heal than those that require stitches. See 4 above however.
6. If the wound bleeds later, put pressure on it with a clean tissue for 5-10 minutes. In most cases this should stop the bleeding, but more prolonged pressure may be required if you are on Aspirin or Warfarin tablets. If the bleeding is profuse or prolonged please seek medical advice.
7. Occasionally wounds become infected (1-2 days later). If the wound becomes very inflamed and sore, or begins to weep you may require antibiotics. Please see your doctor (GP) practice nurse.

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