Saratov JOURNAL of Medical and Scientific Research

Modern approaches to surgical treatment of juvenile hemangiomas

Year: 2015, volume 11 Issue: №3 Pages: 471-476
Heading: Dermatovenerology Article type: Short message
Authors: Dubensky V.V.
Organization: Tver State Medical University of the Ministry of Russia

Aim: studying of clinical and functional features of juvenile hemangioma to identify indications to their removal. Analysis of the nature of side effects at the different methods of treatment and determination of efficiency of the ra-diowave moving away of juvenile hemangioma. Materials and methods. The study involved 216 children with juvenile hemangioma and 14 adult patients with persistent hemangioma. Radiowave treatment was conducted to 32 children with superficial juvenile hemangioma. Results. Superficial juvenile hemangioma are diagnosed in 76.1%, thus the highest prevalence of superficial juvenile hemangioma of small diameter and thickness. At the inspection of children with complications of different methods of treatment of hemangioma found the prevalence of formation of pathological scars, during removing of hemangioma by carbon-dioxide laser and at a scelerotherapy — 58,3%. Swelling and soreness at the radio wave moving away at most patients (84,3%) passed through 3 days, recovery after a 1 session came at 65,6% of patients, after 2 sessions — at 28,2%, after 3 sessions — at 6,2%. At watching the patients of this group during one to three years their proof recovery is set. Conclusion. High postoperative cosmetic effect under strict indications for surgical removal, the absence of relapses and the low percentage of continued growth (6.2% after the second session deletion) allow to recommend high-frequency radio wave removing for the treatment of superficial juvenile hemangioma of the skin.

1. Dubenskij V.V. New in the pathogenesis of juvenile heman-giomas. Modern problems of dermatology, immunology, cosmetology 2013; (3): 26-31
2. Mulliken, JB, Fishman SJ, Burrows РЕ. Vascular anomalies. Curr Probl Surg 2000; 519 p.
3. Leaute-Labreze C., Prey S., Ezzedine K. Infantile haeman-gioma. Part I: Pathophysiology, epidemiology, clinical features, life cycle and associated structural abnormalities. Journal of the european academy of dermatology and venereology 2011; 25 (11): 1245-1253
4. Hyoger PG. Pediatric Dermatology: Differential diagnosis and treatment of children and adolescents. M.: Izda-tel'stvo Panfilova, 2013: 648 p.
5. Leaute-Labreze С, Prey S, Ezzedine К. Infantile haeman-gioma. Part II: Risks, complications and treatment. Journal of the European academy of dermatology and venereology 2011; 25 (11): 1254-1260
6. Dubenskij V.V., Dubenskij Vl.V. Skin lesions in practice dermatologist. Epidemiology, etiology and pathogenesis, diagnosis. Vestnik Dermatologii i Venerologii 2008; (6): 22-40
7. Dubenskij VV, Dubenskij VIV, Garmonov AA. Skin lesions in practice dermatologist: Questions of treatment. Vestnik dermatologii i venerologii 2009; (1): 22-40
8. Barannik Ml, Belyanina ЕО. Mistakes and complications in the use of various methods of removing benign skin tumors. Statcionarozameshchajushchie technology. Outpatient Surgery 2008; №2 (30): 9-27
9. Butov YS, Ahtyamov SN. Features electrosurgery in Dermatology. In: Dermatology: national leadership; ed. JK Skripkin, YS Butov, OL Ivanov. M.: GEHOTAR-Media, 2011; p. 222-231
10. Medical technology "High-frequency radio-wave surgery 3.8-4.0 MHz" M.: Minzdravsotspazvitiya Russia, 2010; 20 p.

2015_03-01_471-476.pdf716.41 KB

No votes yet