Giant lipoma removal by Kshara Sutra thread in an outpatient department without stitches or antibiotics: a case report
Keywords:Lipoma, Kshar Sutra, Removal
Surgical treatment of lipomas is considered when they are painful or unsightly. Surgical management can sometimes be tricky, and surgeons must keep in mind the potential risk of malignancy with large tumours. The present case was of a 46-year-old male with a giant lipoma with a neck on right buttock. Kshara Sutra thread ligation was performed in an outpatient department under local anaesthesia. No internal medication was given for wound healing or infection control. No stitches were taken. The lipoma was cut and removed on the third day without any post-operative complications such as infection, severe pain, or bleeding. Kshar Sutra treatment can be a safe, alternative herbal treatment for lipoma with the neck.
Rosenberg AE. Skeletal system and soft tissue tumors. In: Cotran RS, Kumar V, Robbins SL, Robbins and Cotran Pathologic Basis of Disease. Philadelphia, PA, USA. Saunders/Elsevier, 2010.
Mazzocchi M, Onesti MG, Pasquini P, La Porta R, Innocenzi D, Scuderi N. Giant fibrolipoma in the leg - A case report. Anticancer Res. 2006;26:3649-54.
Bapat P, Bapat V, Phalgune D. Pilonidal sinus extended to create transphincteric anal fistula treated by Kshara Sutra (a medicated herbal seton) without antibiotics: a rare case report. Indian J Colorectal Surg. 2022;4:73-5.
Peitsidis P, Peitsidou A, Tsekoura V, Zervoudis S, Akrivos T. Management of Large Retroperitoneal Lipoma in a 12-Year-Old Patient. Urology. 2009;73:797-9.
Forte F, Maturo G, Catania A, Sorrenti S, Gemma D, Foti N, et al. Retroperitoneal lipoma. Unusual presentation with detrusor instability. Minerva Urol Nefrol. 2002;54:131-3.
Fornage BD, Tassin GB. Sonographic appearances of superficial soft tissue lipomas. J Clin Ultrasound 1991;19:215-20.
Al-basti HA, El-Khatib HA. The use of suction-assisted surgical extraction of moderate and large lipomas: long-term follow-up. Aesthetic Plast Surg 2002; 26:114-7.
Silistreli OK, Durmuº EU, Ulusal BG, Oztan Y, Görgü M. What should be the treatment modality in giant cutaneous lipomas? Review of the literature and report of 4 cases. Br J Plast Surg 2005;58:394-8.