Universitatea de Stat de Medicină şi Farmacie "Nicolae Testemiţanu"
Abstract
Natalia Gheorghiu Department of Pediatric Surgery, Orthopedics and Anesthesiology, Nicolae Anestiadi
Department of Surgery no.1, Nicolae Testemitanu SUMPh, Chişinău, the Republic of Moldova, Congresul consacrat aniversării a 75-a de la fondarea Universității de Stat de Medicină și Farmacie „Nicolae Testemițanu” din Republica Moldova, Ziua internațională a științei pentru pace și dezvoltareIntroduction
Vascular tumors are some of the most common birth defects. In 1982
Muleikin J.B. and Clowacki I. proposed the biological classification system,
dividing the vascular maformative anomalies into the biologically active ones
(hemangiomas) and biologically inactive - vascular malformations.
Purpose
The aim of this paper is to clarify the clinical anatomical differences that
would facilitate the diagnosis and to present therapeutic options (some new
ones) regarding hemangiomas.
Material and methods
From the clinical material of the pediatric surgery service of Natalia Gheorghiu
SPNC for Pediatric Surgery studied over a period of 20 years (2000-2020) we
selected for our study a number of 1784 patients with hemangiomas. We
evaluated the epidemiology, location, age at which they were diagnosed,
complications and methods of diagnosis and treatment. We studied the
advantages of intralesional injection of Bleomycin, Corticosteroids, intratumoral
and extravascular embolization, laser therapy, mechanical compression,
cryotherapy, the use of Propanolol, as well as surgical treatment.
Results
Patients with hemangiomas of various locations (cutaneous, pulmonary,
reteroperitoneal, hepatic, renal, spinal, facial, scalp, intranasal, labial) benefited from
differentiated treatment, on a case-by-case basis.
Conclusions
1. Our study shows the advantages of the non-operative method of treatment of
hemangiomas in newborns and infants by intralesional therapy of Prednisolone.
2. The attitude of our clinic is to solve hemangiomas either conservatively or
surgically and not to wait for regression, due to their unpredictable evolution.
3. Surgery must be preceded by complex investigations (USG, CT with angiography,
Doppler) to clearly determine the hemangioma and avoid surgical complications
