<abstract xmlns="http://www.w3.org/1999/xhtml"> Introduction Infantile hemangiomas (IHs) are the most common benign tumors of the soft tissue in infants and children and they often represent a serious challenge for the treating physician. Hemangiomas located in the anogenital region represent only about 1% of all IHs, but raise special concerns as they have the propensity to ulcerate. This condition may appear spontaneously, or could result from therapeutic procedures. Ulceration is extremely painful and takes many weeks of conservative therapy to heal. <bold>Material and Methods</bold>. The aim of this study is to present the surgical approach of the IHs located in the anogenital area and the outcomes of this treatment option. <bold>Results</bold>. During a period of 36 months, 11 children (nine girls, two boys) were referred to our plastic surgery department with hemangiomas involving the anogenital, groin and perineum areas. The average follow-up period was of 8 months, during which 82% of cases experienced complications, especially ulceration. All the target hemangiomas were removed through a lenticular excision and the wound closed with a linear suture. <bold>Conclusions</bold>. Our study has shown that surgical excision of a complicated anogenital hemangioma or of a “healthy” hemangioma at high risk for ulceration in the anogenital region is an effective treatment, with fast healing and complete resolution of the pathogenic condition. Lenticular excision and linear closure represent a convenient surgical technique that can be performed as early surgery, during the proliferative stage, or at any time later, when the patient needs treatment, in safety conditions and with good results.</abstract>

Introduction Infantile hemangiomas (IHs) are the most common benign tumors of the soft tissue in infants and children and they often represent a serious challenge for the treating physician. Hemangiomas located in the anogenital region represent only about 1% of all IHs, but raise special concerns as they have the propensity to ulcerate. This condition may appear spontaneously, or could result from therapeutic procedures. Ulceration is extremely painful and takes many weeks of conservative therapy to heal. Material and Methods. The aim of this study is to present the surgical approach of the IHs located in the anogenital area and the outcomes of this treatment option. Results. During a period of 36 months, 11 children (nine girls, two boys) were referred to our plastic surgery department with hemangiomas involving the anogenital, groin and perineum areas. The average follow-up period was of 8 months, during which 82% of cases experienced complications, especially ulceration. All the target hemangiomas were removed through a lenticular excision and the wound closed with a linear suture. Conclusions. Our study has shown that surgical excision of a complicated anogenital hemangioma or of a “healthy” hemangioma at high risk for ulceration in the anogenital region is an effective treatment, with fast healing and complete resolution of the pathogenic condition. Lenticular excision and linear closure represent a convenient surgical technique that can be performed as early surgery, during the proliferative stage, or at any time later, when the patient needs treatment, in safety conditions and with good results.

Surgical treatment of anogenital hemangiomas of infancy

Plastic and Reconstructive Surgery Chair, Emergency Clinical Hospital for Children “Grigore Alexandrescu”, Faculty of Medicine, University of Medicine and Pharmacy “Carol Davila” Bucharest

Clinic of Plastic Surgery, Reconstructive microsurgery and Burns, Emergency Clinical Hospital for Children “Grigore Alexandrescu” Bucharest

Acta Marisiensis - Seria Medica

This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 3.0 License.

{"article-title":"Surgical treatment of anogenital hemangiomas of infancy"}

Introduction Infantile hemangiomas (IHs) are the most common benign tumors of the soft tissue in infants and children and they often represent a serious...

Surgical treatment of anogenital hemangiomas of infancy

Publicado en línea: 04 dic 2014

Páginas: 223 - 226

Recibido: 15 sept 2014

Aceptado: 29 oct 2014

DOI: https://doi.org/10.2478/amma-2014-0046

Palabras clave
anogenital hemangiomas, ulceration, infantile hemangiomas, surgical excision

© by Raluca Bulea

This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 3.0 License.

Surgical treatment of anogenital hemangiomas of infancy

Publicado en línea: 04 dic 2014

Páginas: 223 - 226

Recibido: 15 sept 2014

Aceptado: 29 oct 2014

DOI: https://doi.org/10.2478/amma-2014-0046

Palabras claveanogenital hemangiomas, ulceration, infantile hemangiomas, surgical excision

© by Raluca Bulea

This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 3.0 License.

Palabras clave
anogenital hemangiomas, ulceration, infantile hemangiomas, surgical excision