IT'S ONLY A CYST

A lot of times have I been confronted with a simple mass in the body which on first examination I am tempted to excise under local anesthesia in the out patient department; especially if the size of the mass is less than 3 cm and movable. I really don't know what makes me decide to transfer the patient to the  operating room and do it there. There are times in my practice that I don't really know why I make a decision not based on my experience nor from my education. All of those decisions were right to the benefit of the patient. To this day I have never done an operation in the out patient department which I have to pre-terminate because I cannot finished the procedure under local anesthesia....knock on wood. I have heard of surgeons shamefacedly explaining the situation to the patient. This situation is not usually acceptable to the patient because of financial constraints and they never prepared themselves for a major surgery under general anesthesia. But I never did over do  some procedures either  by being so cautious and doing a minor procedure under general anesthesia instead of a simple local anesthesia....knock on wood again.I have my own protocol in dealing with tumors, cysts and mass in the body that to this day I have never failed....knock on wood.