Related Experiment Video
Updated: May 8, 2026
14:58
Comprehensive Endovascular and Open Surgical Management of Cerebral Arteriovenous Malformations
Published on: October 20, 2017
Surgical treatment for venous malformation
Frederica Steiner1, Trevor FitzJohn, Swee T Tan
1Gillies McIndoe Research Institute, Wellington, New Zealand.
Journal of Plastic, Reconstructive & Aesthetic Surgery : JPRAS
|September 10, 2013
Summary
Surgery for venous malformation (VM) offers significant symptom improvement and high patient satisfaction. This treatment effectively enhances appearance, function, and quality of life with low complication rates.
Area of Science:
- Vascular Surgery
- Medical Treatments
- Patient Outcomes
Background:
- Venous malformations (VMs) are typically managed with sclerotherapy, with surgery often serving an adjunctive role.
- This study evaluates the surgical treatment experience for venous malformations.
Observation:
- Fifty patients with VMs underwent 58 surgical procedures between 1996 and 2011.
- Data collected included patient demographics, lesion characteristics, and symptom analysis.
- Patient-reported outcomes assessed symptom severity, appearance, function, and quality of life (QoL) using visual analogue scales.
Findings:
- Complications occurred in 9.7% of operations, including transient sensory loss and permanent nerve palsy.
- Significant symptom improvement was reported, with over 75% of patients experiencing at least a 50% reduction in pain, contour deformity, and skin discoloration.
- Over 50% of patients reported at least a 50% improvement in appearance, function, and overall QoL.
Implications:
- Surgical intervention for selected VMs demonstrates low complication rates and high patient satisfaction.
- Surgery effectively improves the appearance, function, and QoL for the majority of patients with venous malformations.
- Surgical treatment addresses key concerns such as pain, contour deformity, and skin discoloration associated with VMs.
Related Concept Videos
01:26Varicose Veins II: Diagnostic Studies and Interprofessional Care
Varicose veins, or varicosities, develop when the valves in the veins, which control blood flow, weaken or damage. It causes blood to pool and the veins to enlarge. Understanding the clinical manifestations, diagnostic approaches, and management options for varicose veins is crucial for effective treatment and relief.Clinical manifestationsClinical manifestations of varicose veins include a heavy, achy feeling or pain after prolonged standing or sitting. This discomfort can often be relieved by...
01:29Venous Thrombosis III: Interprofessional Care
Venous thrombosis requires effective prevention and treatment strategies to improve patient outcomes and reduce potential complications.Prevention StrategiesHealthcare providers must prioritize preventing venous thromboembolism (VTE) for all adult patients upon admission. Interventions depend on bleeding and thrombosis risk, medical history, current medications, diagnoses, planned procedures, and patient preferences. Patients on bed rest should change positions every two hours and, if not...
01:20Venous Thrombosis II: Clinical Manifestations and Diagnostic Studies
The key difference between Superficial Vein Thrombosis (SVT) and Deep Vein Thrombosis (DVT) lies in their location and severity.Clinical ManifestationsSVT typically presents with localized pain, tenderness, and redness along the course of a superficial vein, often accompanied by a palpable, cord-like structure under the skin. This condition is usually less dangerous than DVT but can be uncomfortable and may lead to complications such as cellulitis or, rarely, a clot extension into the deep...
01:26Mitral Stenosis III: Medical Management
Mitral stenosis, a condition marked by the narrowing of the mitral valve, necessitates an integrated approach for effective management. This approach includes preventative measures, medical therapy, and surgical interventions to reduce symptoms and prevent complications.PreventionPrevention of mitral stenosis primarily focuses on reducing the incidence of bacterial infections, particularly streptococcal infections, which can lead to rheumatic fever and subsequent valvular damage. Timely...
01:28Esophageal Varices-II: Clinical Features and Management
Esophageal varices often manifest as gastrointestinal bleeding episodes, presenting symptoms like hematemesis (vomiting of blood), hematochezia (passing fresh blood via the rectum), and melena (black, tarry stools). Other signs can include weight loss, anorexia, abdominal discomfort, jaundice, pruritus, altered mental status, and muscle cramps.
In the initial assessment, a thorough review of the patient's medical history is vital to identify risk factors such as liver disease, alcohol abuse, or...
In the initial assessment, a thorough review of the patient's medical history is vital to identify risk factors such as liver disease, alcohol abuse, or...
01:30Venous Thrombosis IV: Nursing Management
Nursing management begins with a thorough assessment of the patient's health history. Key factors include trauma to veins, peripherally inserted central catheters, varicose veins, recent pregnancy or childbirth, surgery, bacteremia, prolonged bed rest, atrial fibrillation, COPD, heart failure, cancer, coagulation disorders, myocardial infarction, spinal cord injury, stroke, prolonged travel, recent bone fractures, and dehydration. Review medication intake, particularly oral contraceptives,...