Serial Excision
Staged surgical approach involving multiple procedures to progressively remove large lesions while allowing tissue accommodation between stages.
Full Definition
Serial excision is a staged surgical technique used for removing large skin lesions or scars that cannot be closed primarily in a single procedure. The approach involves multiple planned operations spaced weeks to months apart, allowing tissue expansion and accommodation between stages. This method is particularly useful for large congenital nevi, extensive scars, or tumors in areas with limited tissue mobility. Each stage removes a portion of the lesion while preserving blood supply and minimizing tension on closures.
Usage
Usage note: Distinguish from 'serial sections' in pathology, which refers to sequential tissue sampling.
In Context
- "Serial excision was planned for the large congenital nevus, with three procedures scheduled over six months." — Treatment planning note
- "The second stage of serial excision reduced the remaining lesion by an additional 40 percent." — Progress note