Cryosurgery

From WikiMD's medical encyclopedia

Cryotherapy being applied to a wart.

Cryosurgery is a type of surgery that involves the use of extreme cold to destroy abnormal or diseased tissue. It is commonly used to treat a variety of conditions, including skin lesions, cervical dysplasia, and certain types of cancer.

Principles of Cryosurgery

Cryosurgery works by applying extreme cold to the targeted tissue, causing cellular destruction through the formation of ice crystals within the cells. This process leads to cell death and the eventual removal of the affected tissue by the body's natural healing processes.

Techniques

A cryogun used for cryosurgery.

The most common technique used in cryosurgery is the application of liquid nitrogen, which has a boiling point of -196°C. The liquid nitrogen is applied directly to the tissue using a cryoprobe or a cryospray.

Cryoprobe

A cryoprobe is a device that is cooled by liquid nitrogen and applied directly to the tissue. The probe can be of various shapes and sizes, depending on the area being treated.

Cryospray

Cryospray involves spraying liquid nitrogen directly onto the tissue. This method is often used for superficial lesions such as warts and actinic keratosis.

Applications

Cryosurgery is used in various medical fields, including dermatology, oncology, and gynecology.

Dermatology

In dermatology, cryosurgery is commonly used to treat benign skin lesions, precancerous lesions, and certain types of skin cancer such as basal cell carcinoma and squamous cell carcinoma.

Oncology

In oncology, cryosurgery can be used to treat certain types of tumors, including prostate cancer and liver cancer. It is often used when traditional surgical methods are not feasible.

Gynecology

In gynecology, cryosurgery is used to treat cervical dysplasia, a precancerous condition of the cervix.

Advantages and Disadvantages

Cryosurgery offers several advantages, including minimal invasiveness, reduced bleeding, and quick recovery times. However, it also has some disadvantages, such as the potential for scarring and hypopigmentation.

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Contributors: Prab R. Tumpati, MD