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Maeda T, Kimura C, Takahashi K, et al. Utility of the method using the tsukisui device to control intraoperative bleeding applied to neurofibroma resection. Plast Reconstr Surg Glob Open. 2014;1(9):e85doi: 10.1097/GOX.0000000000000023.
Maeda, T., Kimura, C., Takahashi, K., & Ichimura, K. (2013). Utility of the method using the tsukisui device to control intraoperative bleeding applied to neurofibroma resection. Plastic and reconstructive surgery. Global open, 1(9), e85. https://doi.org/10.1097/GOX.0000000000000023
Maeda, Taku, et al. "Utility of the method using the tsukisui device to control intraoperative bleeding applied to neurofibroma resection." Plastic and reconstructive surgery. Global open vol. 1,9 (2013): e85. doi: https://doi.org/10.1097/GOX.0000000000000023
Maeda T, Kimura C, Takahashi K, Ichimura K. Utility of the method using the tsukisui device to control intraoperative bleeding applied to neurofibroma resection. Plast Reconstr Surg Glob Open. 2014 Jan 06;1(9):e85. doi: 10.1097/GOX.0000000000000023. eCollection 2013 Dec. PMID: 25289279; PMCID: PMC4174105.
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Plast Reconstr Surg Glob Open. 2014 Jan 06;1(9):e85. doi: 10.1097/GOX.0000000000000023. eCollection 2013 Dec.

Utility of the method using the tsukisui device to control intraoperative bleeding applied to neurofibroma resection.

Plastic and reconstructive surgery. Global open

Taku Maeda, Chu Kimura, Kikuko Takahashi, Kimihito Ichimura

Affiliations

  1. Department of Plastic and Reconstructive Surgery, Hakodate General Central Hospital, Hakodate City, Hokkaido, Japan; and Department of Plastic and Reconstructive Surgery, Hokkaido University Graduate School of Medicine, Sapporo City, Hokkaido, Japan.

PMID: 25289279 PMCID: PMC4174105 DOI: 10.1097/GOX.0000000000000023

Abstract

SUMMARY: The resection of neurofibromas in Von Recklinghausen's disease [neurofibromatosis type 1 (NF-1)] is frequently complicated due to size, location, hypervascularity, and tissue friability. A repeat resection, however, is necessary for patients with functional problems such as unexpected tumor bleeding or with changes in esthetic appearance. This report describes application of the method using the Tsukisui device to resecting NF-1 tumors while minimizing blood loss. The method using the Tsukisui device was applied for the resection of 8 NF-1 tumors (5 patients), and intraoperative blood loss, operative time, and postoperative complications were recorded. In all cases employing this method, intraoperative blood loss was <360 ml (10-360 ml), and none of the patients developed postoperative hematoma or other notable bleeding complications. The method using the Tsukisui device, which provided excellent hemostasis and was associated with few complications, shows promise for application to neurofibroma resection.

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