Abstract
Three patients with three different types of vascular tumors of the hand were treated using an Nd-YAG laser. The patients, one male and two females were aged 32, 15, and 51 years old, respectively. The resection of the venous hemangioma in the right palm and little finger of the 32 year old male resulted in a good range of motion, good function, and a pain free state. Equally good results were achieved in both a 15-year-old female, who had cavernous hemangiomas in her left thumb, index, and middle fingers; and a 51-year-old female, who had spindle cell hemangioendotherioma in her right elbow and right hand. Partial excisions were performed in all three cases because the tumors involved digital or ulnar nerves. Blood loss was minimal (averaged 230 grams) compared with usual surgical excisions. The Nd-YAG laser is the only current laser capable of direct tissue contact and the best possible available thermal coagulator giving good penetration with distinct advantage in this type of surgery.
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