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[Surgical resection of giant hemangioma]
1Department of Plastic Surgery, First Affiliated Hospital, Fujian Medical University, Fuzhou 350005, PR China.
Objective:
Through the operative experiences in 45 cases of giant hemangioma, it is elucidated that the operative procedure for hemangioma is an effective, radical method of treatment.
Methods:
1. Preoperative DSA can establish the diagnosis, delineate the range of lesion and facilitate the design of operation. 2. "Dissection over the false capsule" is applied in the operation. 3. The operative wound, is repaired with a plastic procedure.
Results:
Of the 45 patients primary cure was obtained in 27, and secondary cure in 13 with effective rate of 89 percent. The followed-up was as long as 8 years with excellent results.
Conclusions:
The establishment of operative scheme is chiefly based on preoperative DSA, and the success is fundamentally determined by complete dissection over the so-called "false capsule" around the tumour during operation. This procedure can totally remove the tumour, eliminate recurrence and fulfil the purpose of radical resection, which is worthy of wide application.