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Hibernomas Diagnosis, Surgery & Recovery

Hibernomas are one of the rarest types of lipomas. It is also known as fetal lipoma or lipoma of embryonic fat. These tissues are well-defined and progressive in nature. They continue growing without intervention. Though they don’t usually become problematic, in some cases, they can lead to serious complications. Therefore, it is crucial that you learn as much as possible about the condition.

Hibernomas are one of the rarest types of lipomas. It is also known ... Read More

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What is a Hibernoma?

A hibernoma is a rare type of lipoma that forms in the soft tissues. This benign tumor is made of brown fat within the musculoskeletal system. The brown color of the tissues is an identifiable characteristic of hibernomas. Similar to a lipoma, this lump also grows at a slow rate and doesn’t spread to other body parts. A hibernoma can be found on the arms, neck, back, chest/breast, scalp, shoulders, scrotum, vulva, etc.

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Benefits Of Hibernoma Surgery

Surgical excision or hibernoma removal surgery offers several benefits to patients which may include:

  • Elimination of the Tumour: The primary benefit of surgical excision is the complete removal of the hibernoma tumour. This ensures that the tumour is no longer present in the body, reducing the risk of further growth or complications.
  • Improved Quality of Life: Hibernoma can cause discomfort, pain, and limited mobility, depending on their location. By removing the tumour, patients can experience an improved quality of life, as they are no longer limited by the symptoms associated with Hibernoma.
  • Prevention of Complications: If left untreated, Hibernoma can grow and cause complications, such as nerve damage or tissue death. Surgical excision prevents these complications from occurring, ensuring that patients can live a healthy life without any further issues.
  • Quick Recovery: Hibernoma removal surgery is typically an outpatient procedure, meaning that patients can return home the same day. The recovery time for this surgery is typically short, with most patients able to resume their normal activities within a few days.
  • Low Risk of Recurrence: Hibernomas are typically benign, meaning that they are not cancerous and are unlikely to recur after surgical excision. This provides patients with peace of mind, knowing that they are unlikely to experience any further issues related to the tumour.

Are you going through any of these symptoms?

Hibernoma Diagnosis

Before undergoing a surgical excision or hibernoma removal surgery, the following tests may be recommended by your doctor:

  • Blood tests: To check your overall health and identify any underlying medical conditions that may affect the surgery or recovery.
  • Imaging tests: Such as X-rays, CT scans, or MRI scans, to determine the size, location, and extent of the hibernoma.
  • Electrocardiogram (ECG): To evaluate the function of your heart and detect any underlying heart conditions.
  • Pulmonary function tests: To evaluate the function of your lungs and detect any underlying lung conditions.
  • Urinalysis: To check for any urinary tract infections or other abnormalities.

How Are Hibernomas Treated?

Surgical removal is the primary treatment for hibernoma. The goal of hibernoma surgery is to get rid of the tumor completely while keeping the healthy tissues and organs around it. In some cases, radiation therapy may be suggested to shrink the tumor before surgery or to kill any remaining cancer cells after surgery. You also check home remedies to remove lipoma naturally.

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What Happens In Hibernoma Surgery?

This surgery is typically performed under general anaesthesia. The surgeon will make an incision in the affected area of the body to remove the tumour. Once done, the incision will be closed with stitches or staples. 

Surgery for Hibernoma includes:

  • Preoperative preparation: The patient will be given instructions to follow before the surgery, such as not eating or drinking for a certain period of time.
  • Anaesthesia: The patient will be given anaesthesia to ensure that they are comfortable and do not feel any pain during the surgery.
  • Incisions: The surgeon will make one or more incisions in the skin to gain access to the hibernoma. The location and size of the incision will depend on the size and location of the hibernoma.
  • Dissection: The surgeon will carefully dissect the tissue surrounding the hibernoma to ensure that they remove the entire tumour. They will use surgical instruments to remove the hibernoma from the surrounding tissue.
  • Closure: After the hibernoma has been removed, the surgeon will close the incision(s) using sutures or staples. They may also apply a dressing or bandage to the incision site.

What Are The Types Of Hibernoma And Their Treatment?

There are four common types of Hibernoma: 

  • Well-differentiated lipomatous tumours (WDLTs): These are usually non-invasive tumours composed of mature adipocytes, which can be treated with excision or liposuction.
  • Spindle cell lipomatous tumours (SLTs): These contain a mixture of spindle cells and adipocytes and require more aggressive treatments, such as surgical excision or complete tumour removal with chemotherapy and radiation. 
  • Lobular Hibernoma: These are made up of large lobes of fat cells surrounded by fibrous tissue and require complete excision for treatment. 
  • Angiolipomas: These consist mostly of vascular channels in the form of small blood vessels that need to be resected surgically. 

Risks & Complications During The Hibernoma Surgery

Risks and complications associated with the procedure may include:

  • Bleeding: During surgery, there is a risk of bleeding, which can lead to complications such as anaemia, blood clots, or even shock.
  • Infection: Surgery can also increase the risk of infection, which can cause complications such as fever, pain, and swelling.
  • Nerve damage: Hibernoma develop around nerves, and surgery to remove the tumour can cause nerve damage, leading to numbness, weakness, or paralysis.
  • Organ damage: Depending on the location of the hibernoma, surgery may pose a risk of damaging nearby organs or tissues.
  • Anaesthesia complications: General anaesthesia is typically used during surgery, and there is a risk of complications such as allergic reactions, breathing problems, or heart problems.

How To Prepare For Hibernoma Surgery?

In order to prepare for the Hibernoma surgery, you should:

  • Consult with your doctor: Before undergoing any surgery, it is essential to consult with your doctor to determine if you are a suitable candidate for the procedure. Your doctor will evaluate your medical history, current health status, and any medications you are taking to determine if you are fit for surgery.
  • Prepare for the surgery: Once your doctor has determined that you are a suitable candidate for the surgery, you will need to prepare for the procedure. This may involve arranging for someone to drive you to and from the hospital, arranging for time off work, and making any necessary travel arrangements.
  • Follow pre-surgery instructions: Your doctor will provide you with specific instructions to follow before the surgery. These may include fasting for a certain period before the surgery, stopping certain medications, and avoiding certain foods and drinks.
  • Arrange for post-surgery care: After the surgery, you will be discharged the same day. You will need to arrange for someone to help you with daily activities such as bathing, dressing, and eating, as you may experience some discomfort and limited mobility.

if hibernoma left untreated?

Not undergoing Hibernoma surgery on time may lead to the following complications:

  • Delayed treatment can result in its growth and invasion of adjacent tissues or organs. 
  • If left untreated, a hibernoma can cause discomfort, pain, and limited mobility to the affected area. 
  • It can also increase the risk of developing life-threatening conditions, such as cancer if it transforms into a malignant tumour. 
  • In addition, delayed treatment can make the surgical removal of the hibernoma more challenging, leading to a longer recovery period and increased risk for complications.

Precautions After Hibernoma Surgery

  • Do not lift heavy objects or engage in strenuous activities until cleared by the surgeon.
  • Do not consume alcohol or smoke as it can delay the healing process.
  • Do not disturb the surgical incision, such as pulling or scratching the surgical wound.
  • Avoid taking any blood-thinning medications, unless prescribed by the surgeon.
  • Do not neglect signs of complications such as fever, persistent pain, or excessive bleeding, and contact the doctor immediately.

Recovery After Hibernoma Surgery

After undergoing Surgical Excision or Hibernoma Removal Surgery, it is essential to follow the post-operative care instructions provided by the surgeon to aid in the healing process and minimize the chances of complications.

Some general recovery tips include:

  • Pain management: The surgeon may prescribe pain medication or recommend over-the-counter pain relievers to manage any pain or discomfort after surgery.
  • Rest and allow time for healing: The patient should get enough rest and avoid strenuous activities for a few days or weeks after the procedure, depending on the surgeon’s advice.
  • Monitor the wound: The patient should keep a close eye on the incision site for any signs of infection, bleeding, or unusual discharge.
  • Follow-up appointments: The patient should attend all scheduled follow-up appointments to monitor the healing process and assess for any complications.
  • Maintain a healthy diet: Eating a balanced diet rich in nutrients and avoiding smoking can help promote faster healing.

It is essential to note that recovery time may vary for each patient, depending on factors such as the patient’s age, overall health, and the extent of the procedure. It is also vital to contact the surgeon immediately if any unusual symptoms or complications arise.

Frequently Asked Question

Who can get a hibernoma?

Typically, hibernomas develop in people between 20 to 40 years of age. There is a slight possibility of hibernoma formation in older people. But they are uncommon in children. Males are more likely to get a hibernoma compared to females.

Can a hibernoma become cancerous?

No, a hibernoma is a benign tumor without any risk of malignancy. However, it is not possible to differentiate between a cancerous and non-cancerous mass without a biopsy or imaging tests. So, you can mistake a hibernoma for a liposarcoma.

What are the treatment options for hibernomas?

Usually, surgical removal is recommended for hibernoma treatment even when the condition is not symptomatic. Surgical excision is associated with an excellent long-term clinical outcome. 

Can I prevent hibernomas?

It is not possible to prevent the formation of hibernomas as they most often form due to genetic changes. The best thing you can do is to get in touch with a specialist to get the lump diagnosed and removed.

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Medically Reviewed By
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Dr. Sasikumar T
23 Years Experience Overall
Last Updated : March 15, 2025

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