Management of vascular anomalies: Review of institutional management algorithm

Introduction: Vascular anomalies are congenital lesions broadly categorised into vascular tumour (haemangiomas) and vascular dysmorphogenesis (vascular malformation). The management of these difficult problems has lately been simplified by the biological classification and multidisciplinary approach...

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Main Authors: Lalit K. Makhija, Sameek Bhattacharya
Format: Article
Language:English
Published: Thieme Medical and Scientific Publishers Pvt. Ltd. 2017-05-01
Series:Indian Journal of Plastic Surgery
Subjects:
Online Access:http://www.thieme-connect.de/DOI/DOI?10.4103/ijps.IJPS_245_15
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author Lalit K. Makhija
Sameek Bhattacharya
author_facet Lalit K. Makhija
Sameek Bhattacharya
author_sort Lalit K. Makhija
collection DOAJ
description Introduction: Vascular anomalies are congenital lesions broadly categorised into vascular tumour (haemangiomas) and vascular dysmorphogenesis (vascular malformation). The management of these difficult problems has lately been simplified by the biological classification and multidisciplinary approach. To standardise the treatment protocol, an algorithm has been devised. The study aims to validate the algorithm in terms of its utility and presents our experience in managing vascular anomalies. Materials and Methods: The biological classification of Mulliken and Glowacki was followed. A detailed algorithm for management of vascular anomalies has been devised in the department. The protocol is being practiced by us since the past two decades. The data regarding the types of lesions and treatment modality used were maintained. Results and Conclusion: This study was conducted from 2002 to 2012. A total of 784 cases of vascular anomalies were included in the study of which 196 were haemangiomas and 588 were vascular malformations. The algorithmic approach has brought an element of much-needed objectivity in the management of vascular anomalies. This has helped us to define the management of particular lesion considering its pathology, extent and aesthetic and functional consequences of ablation to a certain extent.
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spelling doaj-art-3d95207c0ba44c46b6cccd58ff0bc3912025-08-20T02:16:39ZengThieme Medical and Scientific Publishers Pvt. Ltd.Indian Journal of Plastic Surgery0970-03581998-376X2017-05-01500219320010.4103/ijps.IJPS_245_15Management of vascular anomalies: Review of institutional management algorithmLalit K. Makhija0Sameek Bhattacharya1Department of Plastic Surgery, PGIMER, Dr. RML Hospital, New Delhi, IndiaDepartment of Plastic Surgery, PGIMER, Dr. RML Hospital, New Delhi, IndiaIntroduction: Vascular anomalies are congenital lesions broadly categorised into vascular tumour (haemangiomas) and vascular dysmorphogenesis (vascular malformation). The management of these difficult problems has lately been simplified by the biological classification and multidisciplinary approach. To standardise the treatment protocol, an algorithm has been devised. The study aims to validate the algorithm in terms of its utility and presents our experience in managing vascular anomalies. Materials and Methods: The biological classification of Mulliken and Glowacki was followed. A detailed algorithm for management of vascular anomalies has been devised in the department. The protocol is being practiced by us since the past two decades. The data regarding the types of lesions and treatment modality used were maintained. Results and Conclusion: This study was conducted from 2002 to 2012. A total of 784 cases of vascular anomalies were included in the study of which 196 were haemangiomas and 588 were vascular malformations. The algorithmic approach has brought an element of much-needed objectivity in the management of vascular anomalies. This has helped us to define the management of particular lesion considering its pathology, extent and aesthetic and functional consequences of ablation to a certain extent.http://www.thieme-connect.de/DOI/DOI?10.4103/ijps.IJPS_245_15algorithmmanagementvascular malformation
spellingShingle Lalit K. Makhija
Sameek Bhattacharya
Management of vascular anomalies: Review of institutional management algorithm
Indian Journal of Plastic Surgery
algorithm
management
vascular malformation
title Management of vascular anomalies: Review of institutional management algorithm
title_full Management of vascular anomalies: Review of institutional management algorithm
title_fullStr Management of vascular anomalies: Review of institutional management algorithm
title_full_unstemmed Management of vascular anomalies: Review of institutional management algorithm
title_short Management of vascular anomalies: Review of institutional management algorithm
title_sort management of vascular anomalies review of institutional management algorithm
topic algorithm
management
vascular malformation
url http://www.thieme-connect.de/DOI/DOI?10.4103/ijps.IJPS_245_15
work_keys_str_mv AT lalitkmakhija managementofvascularanomaliesreviewofinstitutionalmanagementalgorithm
AT sameekbhattacharya managementofvascularanomaliesreviewofinstitutionalmanagementalgorithm