Surgery of venous malformations in the extremities
Journal Title: Lietuvos Chirurgija - Year 2006, Vol 4, Issue 1
Abstract
Background / objective. The diagnosis of venous malformations (VM) should be made as early in life as possible. Most of symptoms and signs of this type of vascular dysplasias are taken for manifestation of simple varicose veins or hemangiomas. Therefore surgical treatment can be inadequate and cause further deterioration of peripheral circulation in the extremities. The aim of this study was to elucidate the diagnostic possibilities to avoid mistakes in evaluating the etiology of vascularization disorders and in choosing the right method of treatment. Patients and methods. The histories of the disease of 32 patients operated on for venous malformations in Vilnius University Centre of Vascular Surgery were analyzed. The methods of treatment performed by general surgeons and the treatment results obtained after establishment of the cause of vascular disturbances were assessed. The following diagnostic procedures were made: ultrasound duplex scan in 32, arteriography in 15, phlebography in 30, MRA in 6, CTA in 4 patients. Surgical treatment consisted of phlebectomy, exstirpation of the marginal vein or ligation of its branches and excision of deep extratruncular venous formations. Results. Oedema had 26, ulcers 2, and pain was present in 22 patients. There were 17 patients with truncular and 15 patients with extratruncular VM. Twelve patients were operated on by general surgeons without suggesting congenital vascular malformation (CVM). These operations did not improve the peripheral circulation. Stasis decreased or disappeared in 17 (65.4%), ulcers healed in 2(100%), pain alleviation was achieved in 16 (72.7%) patients after surgery performed in the Centre. Conclusions. The correct method of treatment was chosen on the background of vascular imaging. Operations resulted in palliation or vanishing of symptoms in most patients.
Authors and Affiliations
Vytautas Triponis, Birute Vaisnyte
Keywords
Related Articles
- EP ID EP154582
- DOI -
- Views 79
- Downloads 0
A new method of thyroid gland volume measurement by ultrasound in vivo
Background / objective A new method of thyroid gland volume and mass measurement by ultrasound was elaborated at the Clinic of Abdominal Surgery of Vilnius University. Methods The method was proposed after ultrasoni...
Socioeconomic aspects of day case surgery for hemorrhoids
Objective This study explores the patients’ attitude towards the day case surgery of haemorrhoids. Patients and methods Patients operated on in 2003 because of hemorrhoids were questioned by mail (a retrospective stud...
Leg ulcer treatment by superficial vein surgery and saline-gauze dressing
Objective To determine the effectiveness of phlebectomy and topic saline in patients with leg ulcer caused by isolated superficial vein reflux. Materials and methods One hundred and thirty consecutive patients with 14...
Nauja skydliaukės masės ir tūrio matavimo ultragarsu metodika
Įvadas / tikslas Vilniaus universiteto Pilvo chirurgijos klinikoje parengta nauja skydliaukės masės ir tūrio matavimo metodika, pritaikoma įprastinei ultragarsinei įrangai. Metodai Meto...
Transanal endoscopic microsurgery: an indispensable component of contemporary coloproctology
Background / objective At many surgical and gastroenterological working places still persists the problem what to do with an adhered tumour in the rectum at an unfavourable distance from the anus. This paper presents th...