From surgery to recovery. How to care for a wart after laser removal

Plantar wart removal price

The cost of removing plantar warts in Moscow can vary and reach several thousand rubles.

Before removing the spine, you need to clarify the cost of the manipulation. Many clinics indicate a low cost in their price list. Most often, this means that the true price is veiled and at the appointment it turns out that you need to pay extra for anesthesia, bandaging, etc.

In our clinic, the price list indicates the full price of the intervention, i.e. no additional payments will be required.

Consultation with a doctor at the initial appointment - 1,700 rubles

Removal of a plantar wart— RUB 1,500

Pharmacodynamics

Human recombinant interferon alpha-2b has pronounced immunomodulatory, antiviral, antiproliferative properties, suppresses the replication of RNA and DNA viruses.

The complex composition of the drugs (ointment, suppositories, gel) causes a number of new additional effects: in the presence of antioxidants (tocopherol acetate and/or ascorbic acid), the specific antiviral activity of human recombinant alpha-2b interferon increases, its immunomodulatory effect on T- and B-lymphocytes increases , the level of secretory immunoglobulins of class A increases, the level of immunoglobulin E normalizes, and the functioning of the endogenous interferon alpha-2b system is restored. Ascorbic acid and alpha-tocopherol acetate, being highly active antioxidants, have anti-inflammatory, membrane stabilizing, and regenerating properties. The use of the drug VIFERON® as part of complex therapy makes it possible to reduce therapeutic doses of antibacterial and hormonal drugs, as well as reduce the toxic effects of this therapy.

It has been established that when using the drug VIFERON® there are no side effects that occur with parenteral administration of interferon alfa-2b preparations, and no antibodies are formed that neutralize the antiviral activity of interferon alfa-2b.

Features, symptoms of plantar warts

The spine is a compaction on the plantar surface of the foot with a diameter of 2 to 10 mm (sometimes more). The formation resembles a small callus, which can be either flush with the skin or slightly raised above it. The presence of microscopic dark spots on the surface (thrombosed capillaries) is considered characteristic. Color – from white-yellow to brown. The wart is dense to the touch, pressing on it causes pain.

The spine differs from ordinary warts and papillomas in its higher density, as well as pain when pressed. This is due to the fact that, due to their location, they are always subject to pressure and stress, which causes them to become keratinized; in appearance they sometimes resemble small calluses. The same factor causes pain - when pressed, a dense wart presses on deeper tissues, causing pain (a comparison with a pebble in a shoe is appropriate here).

Removal of plantar warts should be carried out by a specialist. Attempts at self-removal, as well as treatment with folk remedies, are usually ineffective, because the spines are highly dense and have deep “roots.” Superficial removal (cutting with forceps after steaming, applying celandine, aloe, etc.) usually leads to relapse.

Compound

Reasons for appearance

As mentioned above, the main cause of warts is the human papillomavirus (HPV). The presence of HPV in the body is quite common. But the mere fact of the presence of a virus does not necessarily mean the appearance of papillomas.

Predisposing factors are:

• Poor foot hygiene
• Sweaty feet
• Skin trauma - abrasions, microcracks
• High virus activity
• Certain types of virus
• Decreased antiviral immunity
• Some common diseases that reduce the trophism (nutrition) of the skin of the foot are diabetes mellitus, polyneuropathy, arterial atherosclerosis

There are many types of human papillomavirus. Some of its varieties can cause the development of malignant tumors. The virus that causes plantar warts is not one of them. Spines never become malignant, but can cause other inconveniences - pain, cosmetic defects.

Nosological classification (ICD-10)

• A41.9 Septicemia, unspecified
• A49.3 Mycoplasma infection, unspecified
• A59.0 Urogenital trichomoniasis
• A74.9 Chlamydial infection, unspecified
• B00.0 Herpetic eczema
• B00.1 Herpetic vesicular dermatitis
• B18 Chronic viral hepatitis
• B25.9 Cytomegalovirus disease, unspecified
• B34 Viral infection of unspecified localization
• B37.3 Candidiasis of the vulva and vagina (N77.1*)
• G03.9 Meningitis, unspecified
• J06 Acute upper respiratory tract infections of multiple and unspecified localization
• J11 Influenza, virus not identified
• J18 Pneumonia without specifying the pathogen
• N39.0 Urinary tract infection without established location
• N76 Other inflammatory diseases of the vagina and vulva
• O35.3 Fetal injury (suspected) due to maternal viral disease requiring maternal medical attention
• O35.8 Other fetal anomalies and lesions (suspected) requiring maternal medical attention

Removal of plantar warts

Peculiarities

When removing spines, you need to consider the following features:

1. Location on the sole increases the wound healing time (due to constant mechanical impact, sweating, etc.).

2. They are always removed deeply, forming a “crater”. Superficial removal is fraught with the risk of leaving the “roots” of the wart and recurrence.

3. “Home treatment” with folk remedies is undesirable, because with it, it is not possible to achieve the optimal depth of exposure, or, on the contrary, extensive chemical burns occur with various substances used for these purposes.

Methods

There are several methods for removing spines. They all boil down to the destruction of the wart, but this is achieved through various methods of influence, which can be divided into three groups:

• Destruction (destruction using laser, radio waves, electrocoagulation)
• Chemical destruction using various substances (liquid nitrogen, salicylic acid, alkalis, etc.)
• Surgical excision

Let's take a closer look at these methods:

Destruction methods are the most effective, because they destroy the wart completely and with high precision. The radio wave method should be considered the most optimal. It involves the most gentle and at the same time deep removal of the spine. During laser removal, the depth of penetration may not be sufficient to destroy the “roots” of the wart, which can lead to recurrence. When removed with an electrocoagulator, excessive damage to surrounding tissue occurs, which leads to longer wound healing and the formation of a rougher scar.

Chemical destruction is not very effective in treating plantar warts, but is more suitable for removing small papillomas on other parts of the body (i.e. those small formations that rise above the surface of the skin). Plantar warts are located almost flush with the skin and spread quite deeply inward. Therefore, the effect of a chemical on them is either not enough to completely destroy the wart, or, on the contrary, it is too extensive and causes chemical burns of the surrounding tissues, sometimes with the formation of long-term non-healing ulcers.

Surgical excision is rarely used for two reasons: firstly, extensive excision involving healthy tissue is simply not necessary and unreasonably increases the volume and invasiveness of the intervention. Secondly, the plantar surface of the foot is subject to constant mechanical stress (plus sweat production, limited “ventilation” of the wound due to shoes). All this greatly increases the risk of suppuration under the sutures. Surgical removal is advisable in cases where the wart is suspicious of a malignant formation and a high-quality histological (under a microscope) examination of the removed material is required.

Side effects

Ointment: in most cases, VIFERON® is well tolerated. When applied to the nasal mucosa, side effects are weak and transient and disappear on their own after discontinuation of the drug.

Gel: in extremely rare cases, a local allergic reaction may occur in some highly sensitive individuals. In such cases, stop using the drug.

Suppositories: in rare cases - allergic reactions (skin rashes, itching). These phenomena are reversible and disappear 72 hours after stopping the drug.

How does the removal itself take place?

At the appointment, the doctor clarifies complaints, the duration of the disease, conducts an examination, and clarifies the presence of concomitant diseases and allergies to medications.

If the diagnosis is confirmed and there are no contraindications, intervention is performed. After treating the skin with an antiseptic, local anesthesia is administered with a thin needle. This may cause some pain (like any injection), but then the removal itself is completely painless. After making sure that the anesthetic has worked, the doctor destroys the wart with a radio wave scalpel. After removal, the wound is treated with fucorcin and a bandage is applied. The entire intervention takes 2–3 minutes.

Who is prescribed

The following diseases are treated with ichthyol ointment:

• erysipelas;
• eczema;
• burns;
• boils;
• boils;
• neuralgia;
• arthritis;
• haemorrhoids;
• acne.

Suppositories with ichthyol are used for inflammatory diseases in gynecology and urology:

• prostatitis;
• endometritis;
• inflammation of the ovaries;
• salping.

Where can a plantar wart be removed in Moscow?

We can definitely say that spines need to be removed in a clinical setting; the intervention should be carried out by a qualified surgeon who has extensive experience in treating such pathology. In Moscow, this can be done by Dr. Igor Vitalievich Elshansky. He will remove the formation using the optimal radio wave method. The intervention is painless, performed under local anesthesia, and after the manipulation the patient can immediately go home. The clinic has all the conditions for qualified removal.

Don’t expect the wart to “go away” on its own, don’t try to remove it yourself, contact a professional!

Use during pregnancy and breastfeeding

Ointment: since when applied externally and locally, the systemic absorption of interferon is low and the drug has an effect only in the lesion, it is possible to use the drug VIFERON® during pregnancy and lactation.

Gel: since the systemic absorption of interferon when applied topically is low and the drug has an effect only in the lesion, it is possible to use the drug VIFERON® during pregnancy and breastfeeding. During lactation, do not use the drug on the area of ​​the nipples and areola.

Suppositories: the drug is approved for use from the 14th week of pregnancy. There are no restrictions for use during lactation.