Abstract
As the hand is an organ of many different structures, located in a small space, with a high functional value, congenital vascular malformations (CVM) may easily involve many tissues, presenting complex clinical pictures that are difficult to treat. Surgical treatment is possible but general principles of hand surgery should be followed. Skin incisions should be carefully planned to save hand function. Bleeding is reduced by the use of a tourniquet. Magnification with a microscope during surgery is crucial for a precise dissection and recognition of neurovascular pedicles. In case of nerve involvement, external neurolysis is the first choice, as interfascicular treatment is a risky procedure. Total or partial resection of infiltrated muscles should be carefully performed, according to their function. Intraosseous arteriovenous (AV) malformations are best treated by direct occlusion through alcohol or glue injection, avoiding surgery.
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References
Levame J-H, Durafourg MP (1987) Reeducation des traumatises de la main. Maloine, Paris
Mattassi R (1993) Differential diagnosis in congenital vascular-bone syndromes. In: Semin Vasc Surg 6:233
Belov S (1989) Classification, terminology and nosology of congenital vascular defects. In: Belov S, Loose DA, Weber J (eds) Vascular malformations. Einhorn-Presse Verlag, Reinbek, pp 25–30
Belov S, Loose DA (1990) Surgical treatment of congenital vascular defects. Int Angiol 9:175–182
Mattassi R (1993) Diagnosis and treatment of venous malformations of the lower limbs. In: Mattassi R (ed) Proceedings of the international conference on vascular surgery. Beijing, China, October 21–24, International Academic Publishers, p 397
Lee BB, Do YS, Yakes W et al (2004) Management of arteriovenous malformations: a multidisciplinary approach. J Vasc Surg 39:590–600
Lee BB (2002) Advanced management of congenital vascular malformations (CVM). Int Angiol 21:209–213
Di Giuseppe P (2003) Principi di trattamento delle malformazioni vascolari della mano. In: Mattassi R, Belov S, Loose DA, Vaghi M (eds) Malformazioni vascolari ed emangiomi. Springer-Verlag, Milano, pp 160–165
Hein KD, Mulliken JB, Kozakewich HPW et al (2002) Venous malformations of skeletal muscle. Plast Reconstr Surg 110:1625–1635
Breugem CC, Maas M, Breugem SJM et al (2003) Vascular malformations of the lower limb with osseous involvement. J Bone Loint Surg 85:399–405
Di Giuseppe P (2006) Le angiodisplasie venose della mano ed il coinvolgimento dei tessuti. Riv Chir Mano 43:102–105
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Di Giuseppe, P. (2009). Surgical Treatment of Vascular Malformations in the Hand. In: Mattassi, R., Loose, D.A., Vaghi, M. (eds) Hemangiomas and Vascular Malformations. Springer, Milano. https://doi.org/10.1007/978-88-470-0569-3_33
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DOI: https://doi.org/10.1007/978-88-470-0569-3_33
Publisher Name: Springer, Milano
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