Intermediate
Technical
IVT
Fusiform Excision
Pronunciation: FYOO-zi-form
An elliptical surgical incision used to remove skin lesions while minimizing tension on wound closure.
Full Definition
A fusiform excision is an elliptical or football-shaped surgical incision technique used in dermatologic surgery to remove skin lesions. The incision is designed with a length-to-width ratio of approximately 3:1 to 4:1, with pointed ends that allow for optimal wound closure with minimal tension. This technique helps prevent dog-ear formation and creates the best cosmetic outcome while ensuring complete lesion removal with appropriate margins.
Usage
Usage note: Often misspelled as 'fusaforme' or confused with other geometric excision patterns.
In Context
- "The surgeon performed a fusiform excision of the pigmented lesion on the patient's back." — Operative report
- "A fusiform excision with 5mm margins was planned for the suspected melanoma." — Surgical planning note
Also known as
elliptical excision
boat-shaped excision
Contrasted with
circular excision
punch biopsy
Don't confuse with
fusiform aneurysm
elliptical biopsy