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The pineapple technique for excision of large plexiform neurofibromas

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Abstract

Plexiform neurofibromas (PNF) occur in up to 30% of patients with neurofibromatosis type 1 (NF1). To date, management of this tumors remains medically challenging. Surgical approach represents the only viable treatment option of progressive growing plexiform neurofibromas but surgical complications may be relatively common. Intraoperative tumor bleeding was found to occur as one of the most frequent complications. We report the case of a 28-year-old male patient presented with a large back-pack shaped plexiform neurofibroma. The tumor was successfully excised using the pineapple technique, with minimal intraoperative blood loss. To our opinion, this is the first reported case of excision of a plexiform neurofibroma combined with multi-layered hemostatic suture technique. This novel application proves the efficacy and the potential of the technique, extending its feasibility to the excision of any type of vascular tumor or extensive cancerous masses.

Level of Evidence: Level V, therapeutic study

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Authors and Affiliations

  1. Department of Plastic and Reconstructive Surgery, Sapienza University of Rome, Umberto I University Hospital, Viale del Policlinico, 155, 00161, Rome, Italy

    Michele Maruccia, Giuseppe Di Taranto & Bruno Carlesimo

  2. Department of Plastic and Reconstructive Surgery, Azienda Ospedaliera Policlinico di Bari, Bari, Italy

    Michele Maruccia & Giuseppe Giudice

  3. Department of Plastic Surgery, China Medical University Hospital, Taichung, Taiwan

    Fabio Nicoli, Pedro Ciudad & Hung-chi Chen

Authors
  1. Michele Maruccia
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  2. Giuseppe Di Taranto
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  3. Fabio Nicoli
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  4. Pedro Ciudad
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  5. Giuseppe Giudice
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  6. Bruno Carlesimo
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  7. Hung-chi Chen
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Corresponding author

Correspondence to Giuseppe Di Taranto.

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For this study formal consent is not required.

Conflict of interest

Michele Maruccia, Giuseppe Di Taranto, Fabio Nicolì, Pedro Chudad, Giuseppe Giudice, Bruno Carlesimo, Hung-Chi Chen declare that they have no conflict of interest.

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The patient signed a written informed consent and provided consent for the publication of this case.

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Maruccia, M., Di Taranto, G., Nicoli, F. et al. The pineapple technique for excision of large plexiform neurofibromas. Eur J Plast Surg 41, 97–100 (2018). https://doi.org/10.1007/s00238-017-1292-0

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  • DOI: https://doi.org/10.1007/s00238-017-1292-0

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