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Published on: September 9, 2020
Preoperative embolisation in benign bone tumour excision
V N Lee1, M Nithyananth, V M Cherian
1Department of Orthopaedics and Accident Surgery, Christian Medical College, Vellore, India. vlee@cmcvellore.ac.in
Purpose:
To assess the role of preoperative embolisation in benign bone tumour excision.
Methods:
3 men and 3 women aged 19 to 35 (mean 23) years with either a giant cell tumour or an aneurysmal bone cyst in limb girdle sites underwent preoperative embolisation a day prior to wide local excision by the same surgeon. Tumour size, blood loss, wound healing, infection, and tumour recurrence were assessed.
Results:
The mean total blood loss was 391 (range, 100-980) ml. No blood transfusion was needed. No patient had any surgery- or embolisation-associated complication. No tumour recurred within a minimum 5-year follow-up. All patients had satisfactory limb function.
Conclusion:
Preoperative embolisation is useful in the management of vascular and aggressive bone tumours located at limb girdle sites where a tourniquet cannot be used.