Surgical Treatment of Vascular Malformations in the Hand

  • Piero Di Giuseppe


As the hand is an organ of many different structures, located in a small space, with a high functional value, congenital vascular malformations (CVM) may easily involve many tissues, presenting complex clinical pictures that are difficult to treat. Surgical treatment is possible but general principles of hand surgery should be followed. Skin incisions should be carefully planned to save hand function. Bleeding is reduced by the use of a tourniquet. Magnification with a microscope during surgery is crucial for a precise dissection and recognition of neurovascular pedicles. In case of nerve involvement, external neurolysis is the first choice, as interfascicular treatment is a risky procedure. Total or partial resection of infiltrated muscles should be carefully performed, according to their function. Intraosseous arteriovenous (AV) malformations are best treated by direct occlusion through alcohol or glue injection, avoiding surgery.


Arteriovenous Malformation Vascular Malformation Venous Malformation Hand Surgery Glue Injection 
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Copyright information

© Springer-Verlag Italia 2009

Authors and Affiliations

  • Piero Di Giuseppe
    • 1
  1. 1.Plastic and Hand Surgery UnitHospital “Fornaroli”Magenta (Milan)Italy

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