Epidermoid Cyst Removal INTACT| Auburn Medical Group
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- Опубликовано: 1 дек 2016
- Removal of an epidermoid cyst without rupturing it is done by Dr. Vaughan to relieve a patient of continuing episodes of draining from the cyst in his back. These are often inaccurately called sebaceous cysts by many doctors. Many RUclips doctors will squeeze out the sebaceous material during removal. This can sometimes allow a large cyst to be removed through a smaller excision, resulting in less scarring. It is often more difficult to completely remove the cyst capsule if it is ruptured during removal. We had the convenience of working on this patient's back where scarring was not as much of a concern.
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Music Credit: "Safety Net" by Riot (Royalty Free Music on RUclips).
Great job doc! This is the best way to remove a cyst. You avoid the cyst from coming back, no cyst debris, just perfect. Congrats on a job well done. You made my day!!!
Dr Vaughn, you are so excited and positive on your videos, it's hard not to feel so happy for your patients. I'm glad they are willing to share with me an old RN. I miss it, but you help me miss it less.
"you'll see different techniques watching the different channels..."
my response to that is "I do,and I love them all". (the different techniques) thanks for sharing
+Victoria Watkins glad to be one of your channels.
Victoria Watkins couldn't have said that better myself. Comment of the year mate!
Nice job of getting it out whole Dr Vaughan!
I love to see cysts removed whole. If they rupture it's ok, too. Your explanation of the techniques is fascinating. Thank you for your video. I am a fan. 😜
Hardcore popaholic here and I really enjoyed seeing the completely different technique! I can watch Dr Lee for a squeeze and you for intact removals and awesome ear wax. It's all soothing! Thanks for uploading!
That is a great way to look at it.
Hey from England ! That was fantastic. I'm a fan of dr lee aka dr pimple popper too, sometimes they rupture by accident sometimes they have to be ruptured to leave a smaller scar as possible . That was nice to see dr Vaughn ! Encore ! Xx
So true
+mandy Coleman +Auburn Medical Group
I agree about them popping regardless of technique. I am new to this channel, one of Dr. Lee's popoholics. I need to defend her for a moment. She does try to excise cyst whole. There are many occasions that the cysts are just too big to be excised intact. I absolutely love it when she pulls a ginormous cyst sac out of a little bitty hole. She does debulk the really large ones first. She does pull some out intact and that is cool too. There was one gentleman who had a tattoo. She did her best to not damage the tattoo. She did debulk the cyst, but then she just kept working on it and this enormous cyst sac finally appeared. She also had an arm cyst do the same. The sacs were probably a good 12cm and 8cm, respectively. Now, her husband, Dr. Rebish, has a very different approach than she does. So, the mural is to each his own. Different medical schools teach different techniques. So, whichever one the doctor is comfortable with then that's best.
I love the way you explain what you're doing and why! You are an amazing doctor.
Good job
I LOVE it when you share the follow video so we can see how it heals.
Admire the way you explain and illustrate! So clear and detailed. Beautiful work! Thanks, Doc.
Beautifully done Dr. Vaughan lovely suturing and as always kind and caring with your patients. Love how you take the time to even diagram draw the area sutured and explain to the patient how it was done to allay his fears tyvm.
I have never seen this done like this before, very interesting! I actually liked seeing it comes out intact. Also, there is no concern about whether or not you got all of the sac. Thank you for sharing!
Dr. Vaughn, you found the elusive back pearl! congrats!
Is Captain Barbosa going to come after me?
Thank you for finally demonstrating proper technique to the public!
Wow well done dr Vaughn in managing to get the cyst out intact! I know sometimes that can be difficult, I soooooo wanted you to squeeze it once you'd got it out though lol I am a self confessed popaholic though so I'm excused lol 🙃 X Claire X
+Claire Westmoreland thanks for understanding
I really love to see them come out whole. It's clean and satisfying. Nice job.
Great job, Dr. Vaughan.
He's a human oyster, because he grew a big, beautiful, perfect pearl! Loved it, wish you had cut it open though :-(
Nice to see an intact sac removed! I appreciate the medical aspect more than a pop for the sake of popping. If it pops in the process, so be it. Beautifully done.
lovely job! very interesting to see what the cyst looks like in situ.
Thanks for sharing your technique. I love your humorous bedside manner, very comforting imo. Glad to have one more interesting channel to watch!
We love new subscribers. You might also like our Dr. Terry Buhl comedy channel.
That was truly a work of art! Kudos to you Dr. Vaughn.
+Ladybug Grandma you share my sense of esthetics.
He does have thick skin. How much of this is scar tissue from constant squeezing of cyst?
Such a great job. Really enjoy not only the video, but also the channel. I subscribed some time ago and I have to say you ( this Dr.) and your patients are the best. One of if not my favourite channel!
I am very pleased that you commented to let me know.
The way you said sorry lol. Great video
Was surprised at how round (and intact) that cyst was...especially since it had been squeezed and or inflamed before. Great job on getting it out whole. I think there's room here on RUclips for all of you Drs who remove cysts...I know there's room as far as I'm concerned. And whilst techniques vary, it certainly doesn't mean one is more correct than the other. Thanks for sharing Dr. V!
Excellent statement on the value of other RUclips doctors. Let's hear it for Dr. Sandra Lee.
Dr. Sandra Lee only ruptures the cyst purposely because she is trying to minimize the length of the scar. And it's not Hank Williams Jr.; it's Waylon Jennings.
Yes
Becky Ray of have to disagree with you, she used to, in the early days, take them out whole, but as she got more of a following, she started deliberately opening them and squeezing them. You can tell it's an audience entertainment thing, as she often does a slow motion replay of the contents coming out and she never does whole removals anymore. Well except Pilar cysts, but even those she's tending to squeeze more now.
First and foremost: EXCELLENT camera work! I don't know if it's the kind of camera you have, the person who's operating it or a combo of both (what I think it is!) This was so sharp and clear...kudos! Second: while I am a popaholic, my OCD lives that you got this cyst out intact! And, still attached to the skin! Amazing to watch! I really enjoyed your clear descriptions step by step. I find this so fascinating to learn about! You explained it all in terms I understood and made the whole video that much better! Thanks to John for letting this all be captured!
+lindsey smith I love your comments. The camera used for most of the close work is the iPhone 6 using the Filmic Pro app. It still surprises people how much professional video work is currently being captured with mobile phones. As for the steady hands, Ian has improved over the last 11 months.
Great video! Loved the teaching discussion.
+9marrilou Very good!
A lot of times, I don't think Dr. Lee ruptures cysts for the wow factor. I think she just tries to get the cyst out of the smallest incision possible.
+mindy573 I agree. It is a good technique when the cyst is located in cosmetically sensitive parts of the body and the operator removes all of the capsule.
mindy573 given she rarely ever removes then whole anymore, I think she actually does rupture them for the wow factor these days, she's even started rupturing Pilar cysts.
Dr. Sandra Lee has many different clients that do not want scares on their body for self-confident reasons, in many of her recent videos you can see her taking out the whole thing intact. Especially on many older clients such as senior citizens who longer no longer care about the scars. Do not make assumptions that someone else’s technique just by watching a few of their videos... she may sometimes do it for the wow factor (when the client wants it as little scar as possible) but that’s usually towards the end when she pops this is when she pulls it out hole.. so maybe be kind to mindy573. I really did enjoy your video I didn’t like the comments I’m reading. I think you did a fantastic job... i’m not a medical physician of any kind. Lol
I was surprised to see how thick his skin was. I did wonder how you would close him up. I was also glad you left the cyst in tact.
Awesome technic....... I am one that likes to see the squeeze.... but also watching the whole piece is great too!!!! Running EMS for 14 yrs the curiosity never goes away!!!! Ty Doc
Dr Vaughn, great procedure. Like you got it whole.
Love the explanatory narration.
Fantastic piece of surgery Dr. From Ireland. Big fan of yours 👍👍👍
Several points on this one: His back skin was THICK! I've watched so many of these excisions and I've never seen anyone with that thickness of skin, even on their backs. lol It's always satisfying to watch all the contents get squeezed out, but this was just as satisfying in it's own way. It was like a beautiful pearl. And yes, that last stitch you put in was going to bother my sense of symmetry as well if you had not put it in. lol Loved that this procedure was a longer one with a follow up the next day. :)
+Lindsay Antwine True dat
The more weight people carry, the thicker their subq will be.
I've seen several other physicians do this exact same procedure but WOWOOWWW!!! I have NEVER EVER seen it done this way where the skin and entire sack, including the surrounding areas have been removed!! I literally couldn''t take my eyes off the screen!! KUDUS Dr. V!!! I only wished you were local as I have a horrible lipoma that's started giving me trouble lately and my doctor wants it out! I don't know of/trust anyone local. IF you know any good physicians who can help me in Palm Beach County, FL, I'd love to hear back from you! Again, AMAZING JOB!
I wish I knew someone in your area.
If I had to have one removed I'd want it done exactly like you just did it. My reason is there is no doubt it's all gone and won't return.
Awesome Job Doc!
That was a wonderful excision Dr Vaughan. You know you have the entire sac/capsule out when you remove the cyst intact. :-) love from Amanda in Australia. xo
Love your videos!!
Such a good job done here!
This was a pretty cool way of doing the procedure!!
Well done doctor that was just brilliant
That was a job well done!!! I am very impressed with how you got the cyst out completely intact. That cyst won't be growing back. I have to admit I was hoping to see what was inside but that's okay. I've seen what's inside a lot of cyst. I'm a subscriber of Dr. Sandra Lee's channel too. I'm so glad I have both of your channels to watch. All you awesome Doctor's Rock!!!
Spread the word
Great job!
THAT WAS THE BEST CYST. It was just like the pore strips when you put it over the nose and pull the strip up except yours pulled up that perfect egg shaped cyst!!! AMAZING
Love your videos.
Well done. I love your work 😊👍🏼
I'm with you, Dr. Vaughan, in thinking it's more satisfying coming out as a whole.
+Just_An_Aunt anyone can rupture a cyst. Occasionally it's nice to see something different.
Auburn Medical Group Amen! a popaholic as I am I LOVE to see them intact it is SO amazing to see the beauty of what our body does!
Warmest regards and best wishes,
Michelle B
such a cute little cyst!
Correction, Dr. Pimple popper does not squeeze out the contents just for us viewers. She often does this in order to remove the entire sac from a small incision, which produces a smaller scar. Just fyi! *^_^*
That explanation must have been edited out of the final video. Thanks for clarifying. I also use that technique sometimes.
what a great job Dr. mark
+Kim Mnikolaicik thanks
Excellent....I appreciate the explanation. Very professional
Great job.
Doc you are the best👏🏾😘🇭🇹
It's so cool to see all the oil of the skin! I love these kinds of videos so much!!! I would love to do this kind of stuff!
+Elisha Barrows would you go to school to make this happen?
Elisha Barrows, you could go for your RN. I worked in surgery for 16 yrs. Or you could be a scrub tech. They start out pretty good. You won't make as much as a nurse, though. There are plenty of jobs in the medical field.
Nicely done! It's extremely satisfying to see the entire sac removed and even intact. I thought the missing stitch was because the dissolvable suture was used...no? Sure would've like to see that cut in half though (but I understand).
A little excited that it's a cyst removal! Oh boy I need to get a life! LOL
+Freetobemenow19 this is a safe place for you. We all understand.
So professional
I believe just a small amount of undermining would significantly reduce the amount of tension across the wound and patient comfort. Thanks for the videos.
This was a good video. Very good.
Glad you enjoyed it!
Very well done! I truly enjoyed this video! And it was Waylon Jennings :) LOL ♥
+Angela Duvall oh, that sounds correct. Waylon. So, it wasn't Bocephus.
Thank you for explaining everything as you worked. I’m having this procedure done in a few weeks and hearing what was being done helped me tremendously.
You are a very good doctor. All doctors should explain as well as you do. Also you are really nice to your patients. May i add I truly love my 3 drs. Unless hes the best in his field I will not stay with a sarcastic dr.
Looks like a pearl 😊💜
Doctor do you put some kind of antibiotic in the cavity?
Waylon Jennings btw. Not Hank Williams. Or H W Jr.
Excellent removal. I love the precise way you do things and simple yet educational explanations.
Dr. Mark, someone mentioned this video on Dr. Lee's channel so I hopped over here to get the link for them. I wanted others to see your good work. I also wanted to tell you that it's good of you to mention Dr. Lee so often. I also shared the link to Dr. Terry Buhl's channel because I think they will enjoy his antics as well as the comfortableness of your Auburn Medical Group videos; you just seem like a good guy.
Thanks. That's mighty neighborly of you.
+AAuburn Medical Group
You are most welcome.
wtg Dr. V! Roughly how thick is the skin on the back in relation to skin on the face?
have a merry yuletide and have a wonderful new year!
Warmest regards and best wishes,
Michelle B.
Great video. I know you numbed with lidocaine with epi, do you use it buffered.
Always
The pearl of great price!
Great job getting that out whole, I thought it would have been in a lot of scar tissue, you struck lucky ! I notice another scar next to it too. I wonder , if the skin on the back is under so much tension, why you may not have undermined the skin before putting in the deep suture ? Also, I don't think the " missing stitch" was a mattress stitch, I think it may have been a white one, as you used that to finish off when you ran out of the dark suture .
+Carolyn Mccall
Good eye!
It's like a pearl under the skin.
His tshirt is hilarious 😂😂
Dr, if you can find something more interesting then stitches that take up half or more of the video , your channel will be Awesome !! Good luck !
That was possibly the cleanest excision I have ever seen! Excellent work!
And we know Hettie has watched a good number of these. Thanks
my favorite kind of video..cyst
I missed my medical calling...
+Lady J it may not be too late.
Auburn Medical Group 43 years old.. I don't have the "patients" lol.. 😄
Lady J My husbands aunt started nursing school at 40 and worked twenty plus years before retiring!
What happened to the cold spray prior to the shot?
please more cyst videos
Good stuff Doc.. Wish my Cyst were that ez to get to and remove..
+SHWELL11 Shwell?? It has been too long. How are you, your wife, and the little one with attitude?
Life is good. The family is great! Angry Baby is 6 and not so angry these days. lol.. Been a year of surgeries, but after the one on 16 December I am hoping to be done. Hope all is well with you!
Stay strong.
Me too Doctor , enjoy good technique. Not very interested in the interior of cyst except for the diagnosis. Enjoy your joyful nature.
Is there a reason why the skin on top was patchy and dark or was that just a fluke?
It was from trauma to that area because the skin was pushed outward by the cyst, causing it to rub against things.
im not a doctor so im just curious. Are Langer's lines important when making incisions?
Yes. Cutting parallel with Langer's lines allows for less tension on the wound to allow healing with less scarring.
HI just found your channel , also subscribe, wishing you the greatest luck ! ❤️🙏🏽🇨🇦
We live getting my new friends.
Great job, I like to see a physician that takes time and really cares about the patients!!!!
Very nice dissection. I thought there might be another cyst below that deepest tissue...
That was a peek at the deeper fascia.
Does it hurt
I could never do this, I'm not very fond of actual blood. Virtual blood and gore I can handle, but the real deal is too much for me. Great video as usual!
You could be a doctor for those mannequins we train with in medical school.
I wish you was my dr your Awsome
I noticed you did not remove all the scar tissue from past ruptures, what is your reason for leaving some behind?
We removed everything associated with this cyst. Other lesions would be done as a separate procedure.
It looks like a scar to the side of your cyst removal. Previous surgery for the same thing?
That was done by someone else.
You good
whoa!
Sir, This is the first time watching your videos and keep doing what you are doing! I agree with you that taking a cyst out whole is just as if not more satisfying than popping it!! keep them coming and I hope i will find at least one video where you take black heads out of the inside of peoples ears! and solar comedones out of the wrinkles in guys foreheads :) my two favorite pops
Glad you enjoyed seeing this style. I hope to get some good solar comedones and ear blackheads for you. That would be fun.
he didnt cut it opennnnn! :'(
The Dukes of Hazzard's song was sung by Waylon Jennings I believe.
That is correct. I had forgotten.
It was Waylon Jennings that sang the theme song to Dukes of Hazzard , not Hank jr. :)
Im thinking the reason the skin is so thick on the back is it is to protect the spine. Much like the ribs protect the heart?
Peggy Helton possibly an evolutionary hold over from when we walked like chimps. That layer of thick skin would probably be a great insulator, and yes protect the back as it likely would take a lot of any injuries from fights etc.
It also depends on how "thick" we are. People that are overweight have a thicker layer of subq.