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Radical Excision Of Vascular Malformation in Hyderabad

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What is Radical excision of vascular malformation?

Radical excision of vascular malformation is a surgical procedure to remove various vascular malformations and reconstruct the site using the skin from other body parts. Vascular malformations are usually congenital and could appear at any time if aggravated by factors such as surgeries or pregnancy. In radical excision, removing the whole of the vascular malformation is important; otherwise, these malformations can recur. Surgical excision is preferred in cases where other techniques such as embolisation(blocking blood vessels to inhibit blood supply to abnormally growing cells) have failed or could not be performed.

How radical excision of vascular malformation performed

Before surgery: Before surgery, the doctor will recommend blood tests to assess the patient’s medical condition and will ask him to undergo a pre-anaesthesia check-up (PAC). Once the PAC approval is received, the doctor will inquire about the patient’s current medications and could ask him to stop taking certain medications. The patient will also undergo imaging procedures such as ultrasound, CT scans, or MRI, depending upon the location of the vascular malfunction to assess the site of surgical intervention.

During surgery: The patient will be given general or local anaesthesia depending on the location of the vascular malfunction.

Once the patient is unconscious, the surgeon will make an excision in the area with the vascular malformation. Following the excision, the reconstruction is performed usually using the skin from the forearm or the thigh region.

A wound drain is sewn in place during the surgery. The wound drain is attached to a drainage bag. As the name suggests, the wound drain assists with the drainage of any urine or blood from the kidney that may ooze from the area

After surgery: After the surgery, the patient’s vital parameters will be closely monitored for 12-24 hours. After he regains consciousness, he will be moved to the ward/room in the hospital.

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Cost of the radical excision of vascular malformation

Description	Cost
Average Cost of surgery in Hyderabad	₹1,20,00 – 2,00,000
Average Cost of surgery in India	₹1,00,00 – 2,00,000

Surgery details	Description
Number of days in the hospital	1 to 3 days
Type of surgery	Major
Type of Anaesthesia	Local or general
Number of days required to recover	4 to 6 weeks
Duration of the procedure	3-5 hours
Type of surgical options available	Invasive

Risks and complications of the radical excision of vascular malformation

Risk factors for excision surgery include the following:

Bleeding or clotting disorders
Advanced age: It is advisable to get the abnormalities treated as soon as possible
Alcohol use
Use of medications that affect blood clotting
Diabetes
Hypertension
History of cancers
Vascular disease
Heart conditions
History of prior surgeries

Complications

Bleeding at the site of excision
Infections
Swelling or bruising at the site of the excision
Damage to blood vessels

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Frequently Asked Questions

Yes, vascular malformations can be removed using the radical excision procedure. The complete removal of the vascular malformations is imperative to avoid the chances of recurrences. The surgical removal of vascular malformation in fingers and toes is successful with almost no complications. It is also useful in treating massive malformations.

Vascular malformations are different from vascular tumours. Vascular malformations are characterised by abnormal blood vessels or lymph nodes that have no signs of neoplasm in the endothelial cells. On the other hand, vascular tumours have a neoplastic abnormal growth in the cells involving blood vessels and/or lymph nodes. Book an appointment.

Venous malformations can grow back even after the treatment, although the chances of regrowth are quite less if the malformation is completely removed. However, in case of incomplete removal, they can grow back again. Sometimes, the malformations can regrow due to stressful treatments. Hence, regular follow-ups are required to assess the condition and appropriate management.

The majority of the vascular malformations are genetic and these could involve arteries, veins, lymph nodes, or both lymph nodes and blood vessels. These are usually considered to be associated with abnormalities in the development process of these blood vessels and lymph nodes. However, one might not feel any symptoms for years until these malformations are aggravated.

It is advised not to eat anything at least 6-8 hours before the surgery. The doctor may also recommend taking certain medications, such as anti-anxiety, to calm the patient. The patient should also discuss with the doctor if he is taking any medications that affect blood clotting.

Depending upon the location of the radical excision, the patient needs to abstain from strenuous activities such as weight lifting, heavy exercises, or running for at least 4-6 weeks. One should not overexert himself and take proper rest while the body recovers from the surgery. The patient can discuss with the doctor the scope of activities he can perform.

References

https://www.hopkinsmedicine.org/interventional-radiology/conditions/malformations/
https://pubmed.ncbi.nlm.nih.gov/22389901/
https://www.sciencedirect.com/science/article/pii/S2352587815000339
https://www.jhandsurg.org/article/S0363-5023(07)00645-4/fulltext

Disclaimer: The information provided herein is accurate, updated and complete as per the best practices of the Company. Please note that this information should not be treated as a replacement for physical medical consultation or advice. We do not guarantee the accuracy and the completeness of the information so provided. The absence of any information and/or warning to any drug shall not be considered and assumed as an implied assurance of the Company. We do not take any responsibility for the consequences arising out of the aforementioned information and strongly recommend you for a physical consultation in case of any queries or doubts.