Excisjonextirpasjon

Excisjonextirpasjon is a neologistic term used in some discussions of surgical technique to describe a combined approach that seeks both precise excision of a lesion and thorough extirpation of diseased tissue. It is not a widely adopted term in mainstream medical literature, but it is sometimes used in theoretical or pedagogical contexts to compare methods of tissue removal.

The word combines excisjon, derived from excision (removal of tissue with a margin of healthy tissue), and extirpasjon, a form of extirpation (complete removal of a body part or mass). The concept emphasizes achieving clear margins while ensuring that residual tissue capable of recurrence is entirely removed.

Definition and aims: Excisjonextirpasjon denotes a surgical strategy that blends margin-controlled excision with thorough extirpation of affected tissue. The aim is to remove all diseased tissue with adequate margins while reducing the likelihood of recurrence and preserving as much function and appearance as possible. It is often considered for localized, well-demarcated lesions.

Techniques: Surgeons may use standard excision with histopathological margin assessment, en bloc resections, and intraoperative frozen section analysis. Depending on the location, adjuncts such as laser, cautery, or ultrasonic dissection may be used to minimize trauma while achieving clean margins.

Applications and limitations: The concept is most commonly discussed in dermatology, soft tissue surgery, and organ-sparing oncologic procedures for small, accessible lesions. Limitations include the risk of overtreatment, longer operative time, and potential functional or cosmetic impact. The term remains primarily educational rather than a distinct, codified procedure.

See also: Excision, Extirpation, Margin status, Oncologic surgery.