Tag Archives: Fundamentals

Fundamentals, Global Surgery, Print Release

PUBLISHED: Lipoma Excision

Lipoma Excision
John Grove1; Marcus Lester R. Suntay, MD, FPCS, FPSPS, FPALES2
1Lincoln Memorial University – DeBusk College of Osteopathic Medicine
2Philippine Children’s Medical Center

Lipomas are slow-growing lumps that occur as a result of overgrowth of fat cells. They present as doughy, moveable, and non-tender lumps usually found underneath the skin; however, they may occasionally be deeper. Lipomas occur in 1 in every 1,000 people and commonly grow on the upper back, shoulders, and abdomen. In most cases, lipomas are painless unless they affect joints, nerves, or blood vessels. A physical examination is the easiest way to diagnose a lipoma; however, imaging studies and biopsy may aid in the diagnosis when they are large, have unusual features, or appear deep.

No treatment is usually necessary for a lipoma; however, if a lipoma is painful or growing, removal may be recommended by excision or liposuction. Here, we present a 35-year-old male who has a large and deep 8-year-old lipoma on his upper back. The lipoma was excised and sent for biopsy.

Fundamentals, Global Surgery, Print Release

PUBLISHED: Sebaceous Cyst Excision

Sebaceous Cyst Excision
Casey L. Meier, RN¹; Marcus Lester R. Suntay, MD, FPCS, FPSPS, FPALES²
¹Lincoln Memorial University, DeBusk College of Osteopathic Medicine
²Philippine Children’s Medical Center

Sebaceous cysts are closed sacs filled with foul-smelling, cheese-like material found underneath the skin. They form when a gland or hair follicle becomes blocked and are commonly found on the scalp, face, neck, or torso. Sebaceous cysts are non-cancerous and usually present as painless lumps, but can become tender when infected.

In most cases, smaller sebaceous cysts may be ignored as they do not cause any symptoms; however, larger cysts may need to be removed with complete excision recommended to prevent recurrence. Oral antibiotics may be required when a sebaceous cyst becomes infected. Here is the case of a 33-year-old male patient who underwent complete resection of a 2-year-old cyst.

Fundamentals, Global Surgery, Print Release

PUBLISHED: Excision of Epidermal Inclusion Cyst

Excision of Epidermal Inclusion Cyst

John Grove
Lincoln Memorial University – DeBusk College of Osteopathic Medicine

Marcus Lester R. Suntay, MD, FPCS, FPSPS, FPALES
Philippine Children’s Medical Center

Epidermal inclusion cysts, also called keratin or epithelial cysts, are benign lumps that develop beneath the skin. They present as a slow-growing, painless lumps, usually with a punctum in the middle that represents the blockage of keratin excretion. Here, Dr. Lester Suntay with the World Surgical Foundation presents the case of a 64-year-old male with a mass on his upper back. It was noted to be gradually enlarging, and thus excision was performed in order to prevent further growth and infection.

Hand Surgery, Orthopedics, Print Release

PUBlished: Trigger Finger Release (Cadaver)

Trigger Finger Release (Cadaver)
Rothman Institute

Asif Ilyas, MD, FACS
Orthopaedic Surgeon

Vivian Xu

Stenosing flexor tenosynovitis of the digital flexor tendon sheath, also known as trigger finger, occurs when there is a size mismatch between the flexor tendon and the surrounding retinacular pulley system at the first annular (A1) pulley. When the flexor tendon thickens or becomes inflamed, its ability to properly glide through the flexor tendon sheath becomes impaired. Thus, the tendon catches as the finger is flexed and extended. Conservative management includes activity modification, splinting, short-term NSAIDs, corticosteroid injection, and other adjuvant therapies. In this video, Dr. Asif Ilyas at the Rothman Institute demonstrates a surgical approach to the treatment of trigger finger via the open A1 pulley release procedure on a cadaver.

Announcement, Fundamentals, Global Surgery, Preprint Release

PREPRINT RELEASE: Sebaceous Cyst Excision


Sebaceous Cyst Excision
Romblon Provincial Hospital

Marcus Lester R. Suntay, MD, FPCS, FPSPS, FPALES
World Surgical Foundation, Philippines
Training Officer of the Division of Pediatric Surgery
Philippine Children’s Medical Center

In this case, Dr. Lester Suntay performs an excision of a 2-year-old sebaceous cyst from the face of an adult male.

Announcement, Fundamentals, Global Surgery, Preprint Release

PREPRINT RELEASE: Lipoma Excision


Lipoma Excision
Romblon Provincial Hospital

Marcus Lester R. Suntay, MD, FPCS, FPSPS, FPALES
World Surgical Foundation, Philippines
Training Officer of the Division of Pediatric Surgery
Philippine Children’s Medical Center

In this case, Dr. Lester Suntay excises an 8-year-old lipoma from the upper back of an adult male.

Announcement, Fundamentals, Global Surgery, Preprint Release

PREPRINT RELEASE: Aspiration of Ganglion Cyst on Right Wrist


Aspiration of Ganglion Cyst on Right Wrist
Romblon Provincial Hospital

Marcus Lester R. Suntay, MD, FPCS, FPSPS, FPALES
World Surgical Foundation, Philippines
Training Officer of the Division of Pediatric Surgery
Philippine Children’s Medical Center

This case centers around a 51-year-old female with a ganglion cyst on her right wrist. Here, Dr. Lester Suntay performs an aspiration of the cyst while on a surgical mission with the World Surgical Foundation.

Announcement, Fundamentals, Preprint Release

PREPRINT RELEASE: Excision of Epidermal Inclusion Cyst


Excision of Epidermal Inclusion Cyst
Romblon Provincial Hospital

Marcus Lester R. Suntay, MD, FPCS, FPSPS, FPALES
World Surgical Foundation, Philippines
Training Officer of the Division of Pediatric Surgery
Philippine Children’s Medical Center

Here, Dr. Lester Suntay with the World Surgical Foundation performs an excision of an epidermal inclusion cyst on the upper back of a 64-year-old male.

Announcement, Fundamentals, Preprint Release

PREPRINT RELEASE: Pediatric Excision of Ganglion Cyst from Right Wrist


Pediatric Excision of Ganglion Cyst from Right Wrist
Romblon Provincial Hospital

Marcus Lester R. Suntay, MD, FPCS, FPSPS, FPALES
World Surgical Foundation, Philippines
Training Officer of the Division of Pediatric Surgery
Philippine Children’s Medical Center

In this case, Dr. Lester Suntay excises a ganglion cyst from the right wrist of a pediatric patient while on a surgical mission with the World Surgical Foundation.

Announcement, Fundamentals, Preprint Release

PREPRINT RELEASE: Drainage of Cystic Mass on First Left Toe


Drainage of Cystic Mass on First Left Toe
Romblon Provincial Hospital

Marcus Lester R. Suntay, MD, FPCS, FPSPS, FPALES
World Surgical Foundation, Philippines
Training Officer of the Division of Pediatric Surgery
Philippine Children’s Medical Center

In this case, Dr. Lester Suntay drains a cystic mass on the first left toe of a 12-year-old male.