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Management of vascular anomalies: Review of institutional management algorithm

Lalit K Makhija1, Sameek Bhattacharya1

  • 1Department of Plastic Surgery, PGIMER, Dr. RML Hospital, New Delhi, India.

Indian Journal of Plastic Surgery : Official Publication of the Association of Plastic Surgeons of India
|January 19, 2018
PubMed

Insights

This study validates an algorithmic approach for managing vascular anomalies, including haemangiomas and vascular malformations. The algorithm enhances objectivity in treatment decisions based on lesion pathology and consequences.

Area of Science:

  • Vascular Surgery
  • Pediatric Surgery
  • Dermatology

Background:

  • Vascular anomalies are congenital lesions categorized as vascular tumors (hemangiomas) or vascular malformations.
  • Biological classification and multidisciplinary approaches have improved management.
  • Standardized treatment protocols are essential for effective care.

Purpose of the Study:

  • To validate a devised algorithm for managing vascular anomalies.
  • To present institutional experience in applying the algorithm.
  • To assess the algorithm's utility in standardizing treatment.

Main Methods:

  • Followed the Mulliken and Glowacki biological classification.
  • Utilized a departmental algorithm for vascular anomaly management over two decades.
  • Collected data on lesion types and treatment modalities.

Main Results:

  • The study included 784 cases (2002-2012): 196 hemangiomas and 588 vascular malformations.
  • The algorithmic approach introduced objectivity into management.
  • Treatment decisions were guided by pathology, extent, and functional/aesthetic consequences.

Conclusions:

  • The algorithmic approach provides a structured framework for managing vascular anomalies.
  • It aids in defining appropriate treatment strategies for diverse lesions.
  • The algorithm contributes to more objective and effective patient care.
Abstract

Keywords:
Algorithmmanagementvascular malformation

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