Surgical Management of Vascular Anomalies

Surgical management of vascular anomalies depends on the type of lesion, location, symptoms, and consideration of other treatment options. A correct diagnosis must be confirmed before choosing management. Complete resection of a vascular anomaly rarely is required. Operative intervention should not cause a worse deformity than the lesion. Vascular anomalies primarily managed operatively include pyogenic granuloma, congenital hemangioma, and arteriovenous malformation. Resection of infantile hemangioma, kaposiform hemangioendothelioma, capillary malformation, lymphatic malformation, and venous malformation typically occurs after the lesion has been treated with other modalities (eg, medications, laser, sclerotherapy).