Intermediate
Technical
IVT
Wedge Excision
A triangular or V-shaped surgical removal technique commonly used for lip and eyelid lesions.
Full Definition
Wedge excision involves the removal of tissue in a triangular or wedge-shaped configuration, creating two straight edges that can be approximated for linear closure. This technique is particularly valuable for lesions on the lip margin, eyelid, or ear where maintaining anatomic contours is critical. The wedge design allows for removal of the lesion with appropriate margins while preserving function and cosmetic appearance through precise realignment of tissue planes.
Usage
Usage note: Specify whether partial-thickness or full-thickness when documenting wedge excisions.
In Context
- "A full-thickness wedge excision of the lower lip was performed to remove the squamous cell carcinoma." — Operative report
- "The wedge excision preserved lip contour while achieving clear histologic margins." — Surgical outcome note
Also known as
V-excision
triangular excision
Contrasted with
circular excision
elliptical excision
Don't confuse with
punch biopsy
shave excision