Original Research Paper

Harmonic Scalpel In The Treatment Of Giant Intramuscular Neuro-vascular Lipoma

Abstract :

Lipomas are adipocytic tumors that can arise from any part of the body. Giant intramuscular lipomas, defined by lipoma greater than 10 cm in any dimension, reside deep to the fascia and originate within the muscle layer.For the excision of lipoma , the length of the incision required is equal to or greater than the diameter of the giant intramuscular lipoma.However, excessive traction and thermal injury from the energy delivered by the device causes injury to the surrounding tissues and formation of long and noticeable scars formation and resulting in patient dissatisfaction.Now a days with the help of Ultrasonic Harmonic scalpel we can excise large and deep seated lipomas with minimal scarring.With the help of Ultrasonic scalpel , shorter incision can be given during surgery, and it provides a sufficient view of the surgical field, thereby avoiding unnecessary traction applied to the skin and reducing surrounding tissue injury , which avoids formation of hypertrophic scars.

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