Curettage and cauterisation

What is curettage and cauterisation?

Curettage and cauterisation are two interrelated dermatological procedures often employed by skilled dermatologists like Dr Kunene. These techniques are commonly used for the removal of various skin lesions, ensuring optimal patient outcomes and aesthetic results. Curettage involves the scraping or scooping out of abnormal tissues using a curette, while cauterisation refers to the process of sealing blood vessels or tissues to control bleeding or remove unwanted growths.

When are curettage and cauterisation indicated?

Curettage and cauterisation are recommended for a range of dermatological conditions, providing effective solutions for patients experiencing specific skin issues. These procedures are indicated in the following cases:

• Basal cell carcinoma (BCC): Curettage and cauterisation are commonly employed for the removal of superficial BCC, a type of skin cancer.
• Seborrheic keratosis: Non-cancerous, wart-like growths on the skin's surface can be efficiently treated through curettage and cauterisation.
• Viral warts: Warts caused by viral infections, particularly those on the hands or feet, can be removed using these procedures.
• Actinic keratosis: Pre-cancerous lesions resulting from sun damage can be addressed through curettage and cauterisation.
• Skin tags: Benign and soft skin growths can be easily removed with these techniques.
• Skin tags: Benign and soft skin growths can be easily removed with these techniques.
• Molluscum contagiosum: A viral skin infection characterised by small, round bumps, which can be treated effectively through curettage and cauterisation.
• Haemangiomas: Benign tumours formed by an abnormal collection of blood vessels can be managed using these procedures.
• Dysplastic nevi: Atypical moles with a potential for developing into melanoma can be excised through curettage and cauterisation.

What do curettage and cauterisation involve?

• Preparation: Before the procedure, Dr Kunene thoroughly examines the patient's medical history and assesses the specific lesion to be treated. The area is cleaned and numbed using a local anaesthetic to ensure the patient's comfort throughout the process.
• Curettage: During curettage, Dr Kunene employs a curette—a spoon-shaped surgical instrument—to carefully scrape away the abnormal tissue. The procedure is precise, aiming to remove the lesion while minimising damage to surrounding healthy skin.
• Cauterisation: Following curettage, cauterisation is performed to seal blood vessels and prevent bleeding. Dr Kunene may use various cauterisation methods, including electrocautery or chemical agents, to achieve haemostasis and optimise the healing process.
• Post-Procedure Care: Patients receive detailed post-procedure care instructions to facilitate proper healing. This may include keeping the treated area clean, applying prescribed ointments, and avoiding sun exposure during the recovery period.