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New Thrombectomy Technique for Total Portal Vein Thrombosis in Liver Transplantation
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Surgery for Port-Wine Stains: A Systematic Review.

Giacomo Colletti1,2, Sara Negrello3, Linda Rozell-Shannon1

  • 1The Vascular Birthmark Foundation, P.O. Box 106, Latham, NY 12110, USA.

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|July 29, 2023
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Summary
This summary is machine-generated.

Surgery may be a viable option for port-wine stains (PWS) resistant to laser therapy, especially when tissue hypertrophy is present. Early intervention is crucial to prevent disfigurement and achieve better outcomes.

Keywords:
capillary malformationslaser therapyport-wine stainssurgerytissue hypertrophy

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Area of Science:

  • Dermatology
  • Plastic Surgery
  • Vascular Malformations

Background:

  • Port-wine stains (PWS) are congenital vascular malformations.
  • PWS can thicken and darken over time, often resisting standard laser therapy.
  • Tissue hypertrophy in PWS presents a treatment challenge.

Purpose of the Study:

  • To evaluate the role and effectiveness of surgical interventions for treating port-wine stains (PWS).
  • To assess surgical outcomes for PWS, particularly those with resistant hypertrophy.

Main Methods:

  • A comprehensive literature search was conducted across major scientific databases (PubMed, Scopus, Web of Science, Google Scholar).
  • The search focused on studies published between January 2010 and December 2020, using specific keywords for PWS and surgical treatments.
  • Ten relevant articles were identified for analysis.

Main Results:

  • The identified studies were predominantly case series with limited follow-up periods.
  • Objective evaluation scores were generally lacking in the analyzed literature.
  • Analysis suggests potential for surgical intervention in specific PWS cases.

Conclusions:

  • Delayed treatment of PWS can lead to significant soft tissue and bone hypertrophy, causing disfigurement.
  • Surgical correction, often involving bone and soft tissue procedures, is necessary for PWS-related facial asymmetry.
  • Surgical approaches aim for harmonious and predictable aesthetic results in PWS treatment.