Resection of a large scalp neurofibroma using multiple overlapping string sutures to control vascularity

We report the excision of a large diffuse scalp neurofibroma in a 27-year-old patient with neurofibromatosis type 1. Two previous surgical attempts at removal had to be abandoned due to uncontrollable intra-operative haemorrhage. A haemostatic technique utilising multiple overlapping interrupted sutures prior to resection and skin graft enabling complete resection of the neurofibroma is described.