Surgical management of vascular malformations of the upper extremity: A review of current literature.

Autor:	van Doesburg MHM; Department of Plastic, Reconstructive and Hand Surgery. Amsterdam University Medical Centre, Meibergdreef 9, 1105 AZ Amsterdam., Harbech H; Department of Plastic, Reconstructive and Hand Surgery. Amsterdam University Medical Centre, Meibergdreef 9, 1105 AZ Amsterdam., Lokhorst MM; Department of Plastic, Reconstructive and Hand Surgery. Amsterdam University Medical Centre, Meibergdreef 9, 1105 AZ Amsterdam., Breugem CC; Department of Plastic, Reconstructive and Hand Surgery. Amsterdam University Medical Centre, Meibergdreef 9, 1105 AZ Amsterdam.
Jazyk:	angličtina
Zdroj:	JPRAS open [JPRAS Open] 2022 May 21; Vol. 33, pp. 63-75. Date of Electronic Publication: 2022 May 21 (Print Publication: 2022).
DOI:	10.1016/j.jpra.2022.05.008
Abstrakt:	Introduction: Vascular malformations of the upper extremity are uncommon, and there is great heterogeneity in their occurrence and appearance. There is no golden standard for the treatment of vascular malformations of the upper extremity and limited evidence on this subject has been published. Objective: This review aims to answer the question whether surgical treatment leads to less recurrence and complications than non-surgical treatment for patients with vascular malformations of the upper extremity. Materials and Methods: A literature search in PubMed was performed up to September 2019 by using the following terms: vascular malformation, upper extremity and surgery. Inclusion criteria were: a mean follow-up duration of at least 12 months [1], outcome measurements including recurrences and/or complications [2] and the involvement of patients with vascular malformations of the upper extremity [3]. Results: In total, 883 articles were found, of which seven were included in this review. A total of 358 patients were included in these studies, including 208 patients with upper extremity vascular malformations. Minor surgical complications were seen in 20% of the cases, and major complications occurred in 6%. Recurrence was reported in 32% of the cases. Conclusion: Surgery for vascular malformations of the upper extremity can be a safe and effective treatment option, although some cases are better off when treated non-surgically. Literature shows various complication rates for non-surgical treatment of upper extremity vascular malformations. To determine in which case surgery is the better option, we should identify factors leading to surgical complications. Competing Interests: None. (© 2022 The Authors.)
Databáze:	MEDLINE
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