Dr.

Aqsa Noor (PG Plastic Surgery, SMBBIT, Karachi)

Dr. Hassan Kashif (HOD Plastic Surgery, SMBBIT, Karachi)

To evaluate symptomatic control,

Improvement of patient's quality of life
Patient satisfaction
After surgical excision and reconstruction of
vascular malformations in SMBBIT, Karachi.

BACKGROUND

Often present at birth but may appear later in life

Becomes symptomatic and causes functional or cosmetic problems.
Divided into slow-flow (capillary malformation, venous malformation,
lymphatic malformation)
And fast-flow (arteriovenous malformation and AV fistula).

METHOD

Retrospective descriptive study

From April 2022 to November 2023

low flow 90%

high flow 10%

RESULTS

HYPERTROPHIC SCAR

0% RECURRENCE
in 1.5 years
9.1%

PARTIAL NECROSIS
27.3%
100% 100% 100%

PATIENT SYMPTOMATIC BETTER MINOR

SATISFACTION CONTOL FUNCTIONAL 63.6%
OUTCOME

CONCLUSION
Vascular malformations require proper diagnosis, good surgical planning and involvement of
multidisciplinary team for adequate and safe resection in good functional and aesthetic outcome.
The treatment should aim at symptomatic control and improvement of patient's quality of life.
References 1. Johnson AB, Richter GT. Surgical considerations in vascular malformations. Techniques in Vascular and Interventional Radiology. 2019 Dec 1;22(4):100635.
2. ISSVA Classification of Vascular Anomalies ©2018 International Society for the Study of Vascular Anomalies Available at "issva.org/classification" Accessed [date]
3. . Thorne CH, Chung KC, Gosain AK, Gurtner GC, Mehrara BJ, Rubin JP et al. Grabb and Smith's plastic surgery: Seventh edition. Wolters Kluwer Health Adis (ESP), 2013. 216 p.