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Indications

Hemangiomas are the most common type of benign blood-vessel growths that occur in infants and children. They are frequently located on the face, but can occur anywhere. Most appear within the first few weeks of birth, and most regress within a few years. Large or disfiguring hemangiomas, or hemangiomas that fail to regress, require surgical removal.

Procedure

While the infant is deep asleep and pain-free (using general anesthesia), the hemangioma is removed. If the hemangioma is large, the site is covered with a skin graft.

Aftercare

Cosmetic repair depends on the size of the lesion and the surgeon's skill. Generally, the long-term prognosis is quite good. The hospital stay is two to five days, depending on the extent of surgery. Complete healing takes up to six weeks.

Reviewed By

Review Date: 10/10/2010

Linda J. Vorvick, MD, Medical Director, MEDEX Northwest Division of Physician Assistant Studies, University of Washington, School of Medicine. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.

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Related Questions

What aftercare is required for a hemangioma excision?

Aftercare for a hemangioma excision involves wound care and maintenance such as changing of bandages


What is a hemangioma excision?

Hemangioma excision is a surgical procedure to remove a hemangioma, which is a type of benign blood vessel tumor that can appear as a raised or discolored birthmark on the skin. The excision involves cutting out the hemangioma from the surrounding tissue to remove it completely. This procedure can help improve the appearance of the skin and prevent potential complications associated with the hemangioma.


Where is excision surgery for a hemangioma generally performed?

the excision surgery can be done on an outpatient or inpatient basis. For very small lesions, local anesthetic may be sufficient, but for the great majority, general anesthesia is necessary


What is the most common technique used for hemangioma excision?

The most commonly used technique for small lesions is very straightforward and involves removing the abnormal vascular tissue with a lenticular, or lens-shaped excision, that results in a linear scar.


Who performs a hemangioma excision?

The procedure is generally performed by plastic surgeons and, except for extremely small lesions, is done on an inpatient basis in a hospital operating room .


What results can be anticipated after hemangioma excision?

Completely normal appearance after surgery is very rare. However, for significantly disfiguring tumors or those that impact physical function


What are the alternatives to hemangioma excision?

observation ("watchful waiting"), treatment with steroids during the proliferation stage to shrink the tumor and speed the involution process, and laser surgery techniques


What are the morbidity and mortality rates following hemangioma excision?

Morbidity and mortality resulting from this surgery is close to zero, particularly because of the new surgical techniques and tools that prevent intra-operative bleeding of the tumor.


What is the greatest risk involved with hemangioma excision?

bleeding during the operation, as these tumors are comprised of abnormal blood vessels. Surgeons often utilize special surgical tools to reduce this risk, including thermoscalpels


What is the correct pronunciation of the word Hemangioma?

Hemangioma is pronounced heh-man-jee-OH-mah.


What are the symptoms of hemangioma?

the symptoms of hemangioma include a purplish, red sore on the skin, or a raised tumor with the blood vessels. hemangioma is usually spotted on the face or neck area of the body.


What testing is required to diagnose hemangioma?

The most common testing for diagnosis of hemangioma which is the abnormal buildup of blood vessels is typically done with an ultrasound. Some hemangioma can be visually detected.