[Application of blocking vessels in operative therapy of non-limb hemangioma].
OBJECTIVE
To study the surgical method to reduce bleeding in treating hemangioma at non-limb sites.


METHODS
From November 1998 to November 2003, 49 cases of non-limb hemangioma were treated, aged 3 months to 63 years, including 21 males and 28 females. There were 14 cases of capillary hemangioma, 25 cases of cavernous hemangioma, 7 cases of arterial racemose angioma and 3 cases of mixture hemangioma. According to the position and type of hemangioma, the various methods of blocking blood vessels were adopted to assist resect tumors. After the pulsatile artery was felt in arterial racemose angioma of neck and face by palpation, we sutured and knotted it with 7-0 silk string to block the bleeding. We found out the common iliac artery or external iliac artery or femoral artery and blocked them temporarily to resect arterial racemose angioma in inguen and thigh. We sutured and knotted vessel with 7-0 silk string to block the bleeding in capillary hemangioma and cavernous hemangioma of neck and face and truncus.


RESULTS
Intraoperative bleeding obviously decreased and the tumor size reduced to various extent. Of the 49 cases, 47 cases achieved complete success, 2 cases bled within two days after operation. A postoperative follow-up of 6 months to 4 years showed that the appearance and function were satisfactory.


CONCLUSIONS
The preoperative method of blocking blood vessels obviously can reduce intraoperative bleeding and decrease operative difficulty, which makes it possible to eradicate hemangioma and lower recurrence rate.
Zheng
Fanwei
F
Department of Reconstructive and Plastic Surgery, West China Hospital, Sichuan University, Chengdu Sichuan, 610041, PR China.
Cen
Ying
Y
Cui
Zhengjun
Z
D000293:Adolescent; D000328:Adult; D016063:Blood Loss, Surgical / Q000517:prevention & control*; D002648:Child; D002675:Child, Preschool; D005260:Female; D005500:Follow-Up Studies; D006391:Hemangioma / Q000098:blood supply / Q000601:surgery*; D006801:Humans; D007223:Infant; D008297:Male; D008875:Middle Aged; D055815:Young Adult