Tumescent local anaesthesia for the surgical therapy of congenital nevi in the first year of life.
J Eur Acad Dermatol Venereol
; 37(6): 1215-1220, 2023 Jun.
Article
em En
| MEDLINE
| ID: mdl-36807362
ABSTRACT
BACKGROUND:
The indication for surgical treatment of congenital nevi must be made after individual consideration of the expected benefit and risk and requires careful information of the parents as well as interdisciplinary psychological support. In addition to suspected malignancy, a relevant indication is the risk of stigmatization depending on the size and localization of the nevus. Objective was to show which size reduction of the congenital nevus can be achieved by surgical therapy under tumescent local anaesthesia (TLA) in infancy and how often complications of anaesthesia or surgery occur.METHODS:
All infants up to 12 months of age who underwent surgery for a congenital nevus under TLA at the University Dermatological Clinic Tuebingen between January 2015 and December 2021 were included; surgeries were performed using serial excisions (powerstretching technique), whereby the incisions were made inside the nevus and mobilization was strictly limited to the skin side without nevus.RESULTS:
Overall, a cumulative total area of 38.65 cm2 could be removed on average within the first year of life (trunk 67 cm2 , head 21.2 cm2 , legs 21.6 cm2 , arms 13.2 cm2 ). A cumulative maximum area reduction of 406.9 cm2 could be achieved. We evaluated 363 surgical sites (123 children) on all body regions. The median age of the children at the first surgery was 3.5 months (0.46-10.7 months). Complications occurred in 2.3% (seven procedures). All these complications were reversible in the course of the operation and did not lead to a prolonged hospital stay. No anaesthesia-related complications occurred.CONCLUSION:
We were able to show that a reduction of large areas of congenital nevi is possible in the first year of life with the combination of serial excisions using powerstretching technique, TLA, and intracutaneous butterfly sutures.
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Neoplasias Cutâneas
/
Expansão de Tecido
/
Procedimentos Cirúrgicos Dermatológicos
/
Anestesia Local
/
Anestésicos Locais
/
Nevo
Tipo de estudo:
Diagnostic_studies
Limite:
Female
/
Humans
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Infant
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Male
/
Newborn
Idioma:
En
Ano de publicação:
2023
Tipo de documento:
Article