Plantar papilloma: a surgical approach

Abstract

The plantar wart is a fairly common lesion that affects the entire population and that is caused by the human papilloma virus (HPV). Lesions vary in size and quantity and can become very resistant to non-invasive treatments causing detriment to the patient's quality of life. When this happens the treatment option to be considered is the surgical one. With this work we have tried to find a model that is as optimal as possible for a surgical procedure to deal with this lesion, avoiding the well-known post-surgical problems characteristic of an intervention in plantar tissue. A secondary objective was to unify a criterion of surgical inclusion to avoid unnecessary interventions and not to ignore those that are. We carried out an initial bibliographic search of articles related to the surgical intervention of a plantar papilloma published in the biomedical databases of Pubmed, JAPMA and Google Scholar together with additional information obtained from podiatric and plastic surgery books. In the absence of scientific evidence and failure to obtain satisfactory results, a second search was made in the same sources based on articles related to the intervention of similar lesions located on the sole of the foot. The desired results were not obtained in the absence of material published to date but did shed light on the way to approach the plantar tissue avoiding the usual post-surgical problems and taking account of them.