The treatment methods of hemangiomas, colloquially called vascular moles or birthmarks, vary depending on their type and size. Hemangioma, as it is known, is a regional vascular ball. This congenital vascular bundle sometimes disappears on its own and even reaches adulthood. Capillary, that is, strawberry-style hemangiomas, may go away on their own, but sometimes they turn into cavernous-type hemangiomas and are hidden under the skin. Many of the cavernous-type hemangiomas persist into adulthood without disappearing on their own. Treatments generally vary depending on the type of hemangioma and the age of the person.
Cavernous Type Hemangioma:
The type we call chambered or venous hemangioma does not usually go away on its own. Although a shrinkage is observed with the use of dideral, it returns to the same size when the drug is stopped. . It is observed that all hemangiomas grow when the patient cries, gets angry and strains. The main reason for this is that this means that the hemangioma is fed by a vein. Hemangioma can sometimes grow and become large masses under the skin. In the treatment of this type of hemangioma, the situation that plastic surgeons fear the most may be intense bleeding during surgery, and it may recur after the operation if almost all of the hemangioma is not removed. For this reason, current modern treatments come into play in such hemangiomas. These have been replaced by foam sclerotherapy, laser, radiofrequency and sealing agent bonding methods. It is more satisfactory both in terms of radical treatment and aesthetics.
Port Wine Stain:
This type of hemangioma is a common type of hemangioma that is not raised from the skin and is pink red in color. Surgery has no place in the treatment. Laser treatment is applied.
In patients who undergo surgery, surgery is performed on the principle of removing the entire hemangioma mass. Since there will be a lot of bleeding during the operation, blood preparation must be made before the operation. In operated patients, if the hemangioma is almost completely removed, the hemangioma will not recur. However, when the vessel feeding the hemangioma and a piece of hemangioma remain, which is often the case, the hemangioma will recur. The plastic surgeon who performs the surgery usually uses cardiovascular surgery for bleeding control during the operation. He does it with time.
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