Complications of the surgical excision of encapsulated versus nonencapsulated lipomas: A retrospective analysis

Hyuck, Won; Choi, Young Back

doi:10.14730/aaps.2019.01683

Cited by 2 publications

(2 citation statements)

References 13 publications

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“…The neck and trunk are the most common locations of lipomas [13][14][15]. Surgical excision is the treatment of choice for large lipomas, but complications such as pain, bleeding, infection, hematoma, seroma, scarring, and recurrence can occur.…”

Section: Discussionmentioning

confidence: 99%

Seroma prevention with topical Abnobaviscum sclerotherapy following excision of giant cervical lipoma

Choi

Hwang

et al. 2023

Arch Craniofac Surg

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Background: Lipomas are common benign tumors of mesenchymal origin that are composed of mature adipocytes. Giant lipomas have a diameter ≥ 10 cm in one or more dimensions or weigh at least 1,000 g. The surgical excision of a giant lipoma requires extensive dissection, increasing the risk of a seroma, which can cause surgical site complications such as wound infection and necrosis. Sclerotherapy with Abnobaviscum (Viscum album extract) is a relatively new technique used to reduce malignant pleural effusion. In this study, we evaluated the effectiveness of prophylactic sclerotherapy using Abnobaviscum to decrease seroma after giant lipoma excision.Methods: We conducted a retrospective medical record review of patients who underwent surgical excision for giant lipoma of the neck from January 2019 to December 2022. Sclerotherapy was performed on the first postoperative day in patients who consented to the procedure, and Abnobaviscum was instilled through the existing Hemovac drain. We compared the clinical course between those who underwent postoperative sclerotherapy and those who did not.Results: Among the 30 patients who underwent giant lipoma excision, we applied sclerotherapy with Abnobaviscum to 15 patients. The average time from surgery to Hemovac removal was statistically shorter in patients who underwent sclerotherapy (p= 0.004). Furthermore, seroma formation was significantly reduced in patients receiving sclerotherapy (p= 0.003).Conclusion: In patients undergoing giant lipoma excision, sclerotherapy using Abnobaviscum helps reduce postoperative seroma formation during the initial postoperative period. It can be an excellent method to reduce complications related to seroma and attenuate patients’ postoperative burden.Abbreviations: BMI, body mass index; DM, diabetes mellitus; HTN, hypertension; NSAIDs, nonsteroidal anti-inflammatory drugs; POD, postoperative day

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Section: Discussionmentioning

confidence: 99%

Seroma prevention with topical Abnobaviscum sclerotherapy following excision of giant cervical lipoma

Choi

Hwang

et al. 2023

Arch Craniofac Surg

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“…Radiological examinations, such as computed tomography or ultrasonography, were not required in the vast majority of cases; these modalities were used only for tumors that were large, deep, or vague even after sufficient preoperative physical examination. Preoperative computed tomography was carried out to evaluate the differentiation of encapsulated versus non-encapsulated lipomas [7] and to rule out the intracranial extension of dermoid cysts [8].…”

Section: Methodsmentioning

confidence: 99%

Patient satisfaction following benign forehead mass excision through a direct or remote approach

Hyuck

Choi

2020

Arch Aesthetic Plast Surg

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Background Benign tumors of the forehead are highly prevalent and can cause facial asymmetry, discomfort, and psychological issues for patients. Generally, excision is performed via an incision directly over the mass, which can produce suboptimal cosmetic outcomes. Many methods involving remote incisions have been developed to conceal scars at the hairline. This study compared patient satisfaction after remote and direct incisional approaches. Methods We retrospectively enrolled 122 patients who underwent forehead mass excision at our clinic between January 2010 and May 2019 and compared the remote and direct removal of benign forehead lesions. Data on demographics, tumor size, operative time, imaging method, the incidence of complications, and pathological results were collected. Patient satisfaction was assessed via a telephone survey. The complications monitored included hypoesthesia due to nerve injury, wound dehiscence or necrosis, hematoma or seroma, and recurrence. Results A total of 79 patients underwent direct-approach mass excision, and 43 underwent excision with a remote approach. Lipoma was the most common tumor (70 patients), followed by osteoma (26 patients). Statistical analyses with the Mann-Whitney and Fisher exact tests revealed significantly higher satisfaction among the remote-approach group than among the direct-approach group (P<0.05). Conclusions From the perspective of scaring and complication, the group that removed forehead mass through remote approach had significantly better results than the group that removed through direct approach. However, patients' perception of scar visibility strongly influenced their satisfaction. Therefore, a remote approach should be considered for patients who are concerned about cosmetic outcomes, and the patient's hairstyle should also be considered.

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Complications of the surgical excision of encapsulated versus nonencapsulated lipomas: A retrospective analysis

Cited by 2 publications

References 13 publications

Seroma prevention with topical Abnobaviscum sclerotherapy following excision of giant cervical lipoma

Seroma prevention with topical Abnobaviscum sclerotherapy following excision of giant cervical lipoma

Patient satisfaction following benign forehead mass excision through a direct or remote approach

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