|Office Based Surgical Procedures
ASPIRATION - removal of fluid from a mass such as a cyst, seroma, hematoma or abscess using a needle and syringe. Local anesthetic and ultrasound guidance are sometimes used.
BIOPSY - removal of tissue from the body to study it under a microscope and make a diagnosis
INCISION and DRAINAGE - a small opening is made into the skin to puncture into an area that has a fluid collection such as an abscess. Ultrasound is usually used for guidance. After the fluid is drained the wound is left open to heal gradually so that no infected fluid will be trapped. Occasionally, a plastic drainage tube is left and the skin is closed. Antibiotics may also be prescribed.
MAMMOSITE PLACEMENT - after removal of a breast cancer (lumpectomy/wide axcision/ tylectomy), a catheter (plastic, hollow tube) is placed into the cavity that is left in order to deliver high-dose radiation to that local area. The catheter is placed under local anesthetic in the office using ultrasound guidance. Administration of the radioactive material is done subsequently by the radiation oncologist.
VENOUS PORT REMOVAL (Porta-cath and others) - removal of a port that has been used for administration of chemotherapy or blood drawing. A skin incision is made using local anesthesia and the port is removed with its tubing intact. Sutures are used to close the skin.