Radical excision of vascular malformation is a surgical procedure to remove various vascular malformations and reconstruct the site using the skin from other body parts. Vascular malformations are usually congenital and could appear at any time if aggravated by factors such as surgeries or pregnancy. In radical excision, removing the whole of the vascular malformation is important; otherwise, these malformations can recur. Surgical excision is preferred in cases where other techniques such as embolisation(blocking blood vessels to inhibit blood supply to abnormally growing cells) have failed or could not be performed.
How radical excision of vascular malformation performed
Before surgery: Before surgery, the doctor will recommend blood tests to assess the patient’s medical condition and will ask him to undergo a pre-anaesthesia check-up (PAC). Once the PAC approval is received, the doctor will inquire about the patient’s current medications and could ask him to stop taking certain medications. The patient will also undergo imaging procedures such as ultrasound, CT scans, or MRI, depending upon the location of the vascular malfunction to assess the site of surgical intervention.
During surgery:Â The patient will be given general or local anaesthesia depending on the location of the vascular malfunction.
Once the patient is unconscious, the surgeon will make an excision in the area with the vascular malformation. Following the excision, the reconstruction is performed usually using the skin from the forearm or the thigh region.
A wound drain is sewn in place during the surgery. The wound drain is attached to a drainage bag. As the name suggests, the wound drain assists with the drainage of any urine or blood from the kidney that may ooze from the area
After surgery: After the surgery, the patient’s vital parameters will be closely monitored for 12-24 hours. After he regains consciousness, he will be moved to the ward/room in the hospital.
