Outpatient surgery of benign soft tissue masses in the hand. A retrospective review of 179 patients.

Zeynel Mert Asfuroğlu

Article Details

Outpatient surgery of benign soft tissue masses in the hand. A retrospective review of 179 patients.

Authors:

Zeynel Mert Asfuroğlu

Publisher:

Mersin University

Main Topics:

Sağlık Kurumları Yönetimi

Journal:

Mersin Üniversitesi Sağlık Bilimleri Dergisi Vol.16 Issue 2, pp.200-208

Document Type:

Article

Publication Date:

8/2023

Document Language:

Turkish

Document ID (Org No.):

2001296659

pISSN:

1308-0830

Keywords:

Abstract:

 Objective: Benign soft tissue masses of the hand are more common than malignant and bone derived masses. Most of these can be treated with outpatient surgery. In the present study, we aimed to assess the diagnosis, recurrence rate and the effect of local anesthesia method on the recurrence rate of benign soft tissue masses treated with outpatient surgery. Method: 179 patients with histopathologically confirmed diagnosis of benign soft tissue mass who were treated with outpatient surgery between 2015 and 2020 were retrospectively reviewed. In addition to the demographic characteristics of the patients, the results were analyzed according to the exact diagnosis of the masses, anatomical locations and the local anesthesia method. Results: 96 53 patients were female and 83 47 were male. The mean age was 41.6 10-75; SD: 15.1 years and the mean follow-up time was 47.4 24-82; SD: 11.1 months. The anatomical localization of the mass was most common in the second and third finger rows 21 and 21, respectively and at the level of the proximal phalanx 22. The most common diagnoses were tendon sheath giant cell tumor 27 and ganglion cyst 16. The recurrence rate was 6 among all patients. It was observed that 89 49 patients were operated under regional intravenous anesthesia RIVA, and 90 51 patients were operated with infiltrative local anesthesia LA. There was no significant difference in terms of recurrence between these two methods p0.546. Conclusion: Benign soft tissue masses of the hand can be successfully treated with outpatient surgery. Recurrence rates were low in our patient series and it was concluded that different local anesthesia methods did not affect the recurrence rate.

 Objective: Benign soft tissue masses of the hand are more common than malignant and bone derived masses. Most of these can be treated with outpatient surgery. In the present study, we aimed to assess the diagnosis, recurrence rate and the effect of local anesthesia method on the recurrence rate of benign soft tissue masses treated with outpatient surgery. Method: 179 patients with histopathologically confirmed diagnosis of benign soft tissue mass who were treated with outpatient surgery between 2015 and 2020 were retrospectively reviewed. In addition to the demographic characteristics of the patients, the results were analyzed according to the exact diagnosis of the masses, anatomical locations and the local anesthesia method. Results: 96 53 patients were female and 83 47 were male. The mean age was 41.6 10-75; SD: 15.1 years and the mean follow-up time was 47.4 24-82; SD: 11.1 months. The anatomical localization of the mass was most common in the second and third finger rows 21 and 21, respectively and at the level of the proximal phalanx 22. The most common diagnoses were tendon sheath giant cell tumor 27 and ganglion cyst 16. The recurrence rate was 6 among all patients. It was observed that 89 49 patients were operated under regional intravenous anesthesia RIVA, and 90 51 patients were operated with infiltrative local anesthesia LA. There was no significant difference in terms of recurrence between these two methods p0.546. Conclusion: Benign soft tissue masses of the hand can be successfully treated with outpatient surgery. Recurrence rates were low in our patient series and it was concluded that different local anesthesia methods did not affect the recurrence rate.

 Objective: Benign soft tissue masses of the hand are more common than malignant and bone derived masses. Most of these can be treated with outpatient surgery. In the present study, we aimed to assess the diagnosis, recurrence rate and the effect of local anesthesia method on the recurrence rate of benign soft tissue masses treated with outpatient surgery. Method: 179 patients with histopathologically confirmed diagnosis of benign soft tissue mass who were treated with outpatient surgery between 2015 and 2020 were retrospectively reviewed. In addition to the demographic characteristics of the patients, the results were analyzed according to the exact diagnosis of the masses, anatomical locations and the local anesthesia method. Results: 96 53 patients were female and 83 47 were male. The mean age was 41.6 10-75; SD: 15.1 years and the mean follow-up time was 47.4 24-82; SD: 11.1 months. The anatomical localization of the mass was most common in the second and third finger rows 21 and 21, respectively and at the level of the proximal phalanx 22. The most common diagnoses were tendon sheath giant cell tumor 27 and ganglion cyst 16. The recurrence rate was 6 among all patients. It was observed that 89 49 patients were operated under regional intravenous anesthesia RIVA, and 90 51 patients were operated with infiltrative local anesthesia LA. There was no significant difference in terms of recurrence between these two methods p0.546. Conclusion: Benign soft tissue masses of the hand can be successfully treated with outpatient surgery. Recurrence rates were low in our patient series and it was concluded that different local anesthesia methods did not affect the recurrence rate.

 Amaç: Elin iyi huylu yumuşak doku kitleleri, kötü huylu kitlelere ve kemik kitlelerine kıyasla daha sık görülmektedir. Bu kitlelerin büyük çoğunluğu günübirlik cerrahi ile tedavi edilebilmektedir. Bu çalışmada günübirlik cerrahi ile tedavi edilen iyi huylu yumuşak doku kitlelerinin tanı dağılımını, nüks oranını ve lokal anestezi yönteminin nüks oranına etkisini incelemeyi amaçladık. Yöntem: 2015 ve 2020 yılları arasında günübirlik cerrahi ile tedavi edilen ve histopatolojik tanısı iyi huylu yumuşak doku kitlesi olan 179 hasta geriye dönük olarak incelendi. Hastaların demografik özelliklerine ek olarak kitlelerin histopatolojik tanıları, anatomik yerleşim yerleri ve yapılan lokal anestezi yöntemine göre veriler incelendi. Bulgular: Hastaların 96sı 53 kadın ve 83ü 47 erkek idi. Yaş ortalaması 41.6 10-75; SS:15.1 yıl ve ortalama takip süresi 47.4 24-82; SS:11.1 ay idi. Kitlenin anatomik yerleşim yeri en sık ikinci ve üçüncü parmak sıralarında sırasıyla, 21 ve 21 ve proksimal falanks seviyesinde  22 idi. En sık görülen tanılar tendon kılıfı dev hücreli tümörü 27 ve ganglion kisti 16 idi. Nüks oranı tüm hastalar arasında 6 olarak bulundu. 89 49 hastanın cerrahisi bölgesel intravenöz anestezi BİVA, 90 51 hastanın ise infiltratif lokal anestezi LA yöntemi ile yapıldığı tespit edildi. Bu iki yöntem arasında nüks açısından anlamlı bir farklılık bulunmadı p0.546. Sonuç: Elin iyi huylu yumuşak doku tümörleri günübirlik cerrahi ile başarılı bir şekilde tedavi edilebilmektedir. Hasta serimizde nüks oranları düşük görülmüş ve seçilen anestezi yönteminin nüks oranına etki etmediği sonucuna varılmıştır.

Article Details

Outpatient surgery of benign soft tissue masses in the hand. A retrospective review of 179 patients.

Authors:

Zeynel Mert Asfuroğlu

Publisher:

Mersin University

Main Topics:

Sağlık Kurumları Yönetimi

Journal:

Mersin Üniversitesi Sağlık Bilimleri Dergisi Vol.16 Issue 2, pp.200-208

Document Type:

Article

Publication Date:

8/2023

Document Language:

Turkish

Document ID (Org No.):

2001296659

pISSN:

1308-0830

hand

soft tissue mass

outpatient surgeryel

yumuşak doku kitlesi

günübirlik cerrahi

Issues

Article Details

Outpatient surgery of benign soft tissue masses in the hand. A retrospective review of 179 patients.

Authors: Zeynel Mert Asfuroğlu

Publisher: Mersin University

Main Topics: Sağlık Kurumları Yönetimi

Journal: Mersin Üniversitesi Sağlık Bilimleri Dergisi Vol.16 Issue 2, pp.200-208

Document Type: Article

Publication Date: 8/2023

Document Language: Turkish

Document ID (Org No.): 2001296659

pISSN: 1308-0830

hand

soft tissue mass

outpatient surgeryel

yumuşak doku kitlesi

günübirlik cerrahi

Issues

Authors:

Zeynel Mert Asfuroğlu

Publisher:

Mersin University

Main Topics:

Sağlık Kurumları Yönetimi

Journal:

Mersin Üniversitesi Sağlık Bilimleri Dergisi Vol.16 Issue 2, pp.200-208

Document Type:

Article

Publication Date:

8/2023

Document Language:

Turkish

Document ID (Org No.):

2001296659

pISSN:

1308-0830