CIRCULAR EXCISION AND "PURSE-STRING" TECHNIQUE IN SURGICAL TREATMENT OF HEMANGIOMAS.

Hemangiomas are the most common benign vascular lesions in childhood. Surgical removal of hemangiomas in childhood is usually delayed till intralesional blood flow spontaneously decreases, but the fibroadipose tissue and atrophic skin remain even after general involution. The aim of our study is to provide such a technique and method that can redistribute the tension around the defect after the excision and achieve complete and simple closure.

Methods: Six children with hemangiomas of different size and location on the face underwent circular excision of the defects and subsequent closure using the "purse-string" method.

Results: All skin defects were completely closed without subsequent complications requiring reoperations. No deformation occurred in the nearby tissues and the final aesthetic appearance of the scar was excellent.

Conclusions: Circular excision combined with a "purse-string" technique is an effective method of achieving complete closure of the skin defect with excellent results.