Use of the LigaSure™ vessel sealing system in neurofibroma excision to control postoperative bleeding

Summary Background The resection of neurofibromas in Von Recklinghausen’s disease (NF-1) is frequently complicated by potentially life-threatening intraoperative and postoperative hemorrhage, due to the high tumor vascularity and tissue friability. Methods This report describes a novel technique for...

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Veröffentlicht in:Journal of plastic, reconstructive & aesthetic surgery reconstructive & aesthetic surgery, 2012-06, Vol.65 (6), p.814-817
Hauptverfasser: Konno, Eri, Kishi, Kazuo
Format: Artikel
Sprache:eng
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Zusammenfassung:Summary Background The resection of neurofibromas in Von Recklinghausen’s disease (NF-1) is frequently complicated by potentially life-threatening intraoperative and postoperative hemorrhage, due to the high tumor vascularity and tissue friability. Methods This report describes a novel technique for the resection of neurofibromas using the LigaSure™ (Valleylab, Tyco International Healthcare, Boulder, CO) vessel sealing system. We compared five cases of NF-1 tumor removal which used this vessel sealing system, with six cases that did not, and recorded the intraoperative and postoperative blood loss, length of hospitalization, and postoperative complications. Results In all cases employing the LigaSure™, the perioperative blood loss was less than 600 ml (30 ∼ 570 ml), and no patient developed a postoperative hematoma or other bleeding complications. In contrast, the cases not using the LigaSure™ had greater blood loss as well as a higher rate of postoperative hematomas. Conclusions The LigaSure™ provides excellent hemostasis with few complications when used for neurofibroma removal.
ISSN:1748-6815
1878-0539
DOI:10.1016/j.bjps.2011.10.012