Scalp Surgery

Large cancers and cysts of the scalp can indeed be associated with an increased risk of bleeding due to several factors:

  • Vascularity: The scalp has a rich blood supply, and larger growths, such as tumours or cysts, can involve blood vessels. When these vessels are damaged during removal or biopsy, it can lead to bleeding.
  • Pressure: Larger growths can exert pressure on surrounding tissues and blood vessels, making them more susceptible to bleeding when disturbed during medical procedures.
  • Tumour Characteristics: Malignant tumours, in particular, can have abnormal blood vessels that are prone to bleeding when disrupted.
  • Trauma: Manipulating or attempting to remove large growths can cause trauma to the surrounding tissue, which may lead to bleeding.

For large lipomas and sebaceous cysts, the risk of bleeding during their removal or treatment can also be influenced by the factors mentioned above. In some cases, these growths can be vascular, making them more prone to bleeding during excision or drainage procedures.

When dealing with lesions that are too large to be comfortably treated with local anaesthetic alone, your doctor may consider using additional methods to ensure patient comfort and safety, including:

  • General Anaesthesia: For large lesions or tumours, general anaesthesia may be used to induce unconsciousness and pain control during surgery.
  •  Regional Anaesthesia: Regional anaesthesia, such as a nerve block or epidural, can be employed to numb a larger area, providing pain relief during the procedure.
  • Sedation: Intravenous sedation can be used in combination with local anaesthesia to relax the patient and minimise discomfort during the procedure.
  • Topical Anaesthetics: In some cases, topical anaesthetics can be applied to the lesion’s surface to reduce pain and discomfort.

The choice of anaesthesia and the approach to managing large scalp lesions will depend on various factors, including the type of lesion, its size, location, and the patient’s overall health. It is essential for your doctor to assess each case individually and determine the most appropriate approach to minimise the risks and ensure patient comfort and safety during the procedure.