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Published:
Apr 25, 2013Keywords:
Compression device Hot 7.5% hypertonic saline Minimal blood loss Surgery Vascular malformations
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Hot Hypertonic Saline and Compression Device: A Novel Approach in Preventing Severe Hemorrhage during Extirpation of Deep Vascular Malformations of the Face
Abstract
Background: Hemorrhage is a serious challenge in vascular malformations (VMs). This problem makes the surgical excision of the lesions difficult and sometimes impossible. Objective: The objective was to design a technique that will meet with the challenges of hemorrhage while
performing surgery in such lesions in our environment.
Patients and Methods: Seven patients with deep and moderately large VMs of the facial region were selected and treated with hot 7.5% hypertonic saline after compressing the feeder vessels. This was then complemented with surgical excisions.
Results: There were successful surgical extirpations of the lesions without eventful hemorrhage. Conclusion: Hot 7.5% hypertonic saline injected into VMs after emptying their hematic content caused sclerosis of the anomalous vessels. This made
bleeding during surgery uneventful.
Keywords: Compression device, Hot 7.5% hypertonic saline, Minimal blood loss, Surgery, Vascular malformations
performing surgery in such lesions in our environment.
Patients and Methods: Seven patients with deep and moderately large VMs of the facial region were selected and treated with hot 7.5% hypertonic saline after compressing the feeder vessels. This was then complemented with surgical excisions.
Results: There were successful surgical extirpations of the lesions without eventful hemorrhage. Conclusion: Hot 7.5% hypertonic saline injected into VMs after emptying their hematic content caused sclerosis of the anomalous vessels. This made
bleeding during surgery uneventful.
Keywords: Compression device, Hot 7.5% hypertonic saline, Minimal blood loss, Surgery, Vascular malformations
