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Office Visit Back Cyst
This is a good one 
That thing is huge!!!!
PART 2 – Thanks to Zitworshipper for that!!
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That sac had it’s own zip code. Boy, what I wouldn’t do for a cyst like that… preferably on the top, front side of my thigh so I could have all that fun MYSELF.
I have honestly forgotten how many times I have watched this. Man, I wish my husband would grow one of these for me to pop. It could be like a Christmas gift or something.
wow i would have loved to see that up close thank you for video loveit
I always find it interesting when a physician is so tentative in making the initial incision. Had the operator incised more widely, the cyst would probably have shelled out in one piece. This cyst had a tough outer shell, almost certainly trichilemmal. Not only was the initial incision inadequate, but the use of sharp technique was excessive. Once the lesion is opened, blunt technique is called for. Takes time to learn, but superior results both medically and popologically.
Notice how the materials oozes out, then stops Then there’s a small burst and it stops again. This is the hallmark of a loculated lesion, though the sheer SIZE of this lesion screams loculations! Loculations are septa that develop inside the cyst. If you rupture the cyst, then you insert a small, closed haemostat into the incision, stand back, and open the haemostat, then plunge it in several times, closing to insert and opening to break up the membranes. This would have enabled the evacuation of the keratinaceous material (it’s not pus, people) much more readily, with less trauma to the surrounding tissue. Trying to dig material out with a scalpel makes me wonder where could this person have been trained; then I remember what a bunch of hacks the non-surgical students are during their ER and surgical rotations.
I wonder how bad the post-op infection was. The vid ends before the procedure so I don’t know if he closed the incision,left it open, or packed it. Given the fact that he’s still trying to extract material as the vid ends, I don’t think he packed it with iodoform gauze, and this one looks like the Pt may have had to come back or go elsewhere to deal with the post-op infection or rampant inflammation.
Thank you for this write up. It makes a lot of sense, particularly the portion about the small bursts of “keratinaceous material”. The loculations would likely explain the different consistencies of the drainage, as well, correct? Despite the bad technique and the added tissue trauma to the patient, as a layman, I found it fascinating. Now I feel a little guilty.
The only thing that I might disagree with you about, (you obviously appear to be in the medical field, so I do this with caution) is the extent of infection. The procedure seemed sterile enough, and if packed/bandaged properly, along with topical and oral antibiotics, what makes you so certain that the patient will develop an infection? I do not ask this question rhetorically, I am sincerely interested in your response.
After watching countless cyst removals on this site, I was also surprised by the doctor’s initial incision. I’m not a doctor, so I assumed maybe I was missing something. I’m glad you cleared it up. Also, should the patient have been on his side like that? Would it have been more advantageous for him to lie on his stomach? Finally, why did the doctor keep reusing the same gauze?
What I saw was very nice… I just kept saying “Go Wide Doc, Go Wide”. This comment is based on the first 3.32 mins. of the 1st vid, then the vid stopped & I couldn’t get it to play the remainder. Nice one anyway…
This video never gets old! 11/10!
wow, all I can say is wow.
Why do they always have a gauze that is WAY too small? Or why do they continue to use the same nasty gauze over and over again?
This doc actually plays with the stuff, but I have to say, this is one of the best all around vids I have seen. The camera person was spot on, the spot was spot on and the doc got squirted and he didn’t even jump! : )
This has the best sequel since. . . I can’t think of any better sequels, film or otherwise. The suspense, the drama, the cinematography– both films should have swept the Oscar’s. “The story of a doctor and his long, sometimes difficult, relationship with his patient’s cyst– The loving birth of the sac, and the sensual massage of its content. . . .epic”
it’s as good as godfather II
Ooohh, good one! That was exactly the analogy I was looking for, and the story lines are similar as well! lol
I love the way he leaves his patient bleeding out the pothole in his back while he gropes away at his deflated cyst.
Great back cyst! Nice find!
I would pay good money to view this on an IMAX screen!!
This never gets old…..
gooey…although was i the only one that was a little disturbed to see the doctor playing with the stuff? o_O