Little intervention is required for the usual cryosurgical patient. The original pain and edema give way to a bullas reaction. After 1–2 weeks, an eschar forms. When the eschar peels away, cure still takes longer to complete.
Pain or burning may follow freezing. When treating malignancies, local anesthesia is advised; especially if a debulking of the tumor preceeds treatment. The mucous membranes, forehead, temple, distal fingers and nose are more susceptible to pain. Migraine type headaches occur occasionally after treating lesions on the forehead or temple. Syncope, while rare, does occur. The patient may be put in the supine or Trendelenburg position for recovery.
While dressings are not generally required after freezing, an absorbent pad that can stick to clothing may be used to prevent drainage on clothing. Pressure of a bullae may be relieved with a sterile needle or scalpel blade.
KeywordsCryosurgery Syncope Migraines Vasovagal Intervention
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