Hot Hypertonic Saline and Compression Device: A Novel Approach in Preventing Severe Hemorrhage during Extirpation of Deep Vascular Malformations of the Face

  • U Mgbeokwere
  • O Egwuom
Keywords: Compression device, Hot 7.5% hypertonic saline, Minimal blood loss, Surgery, Vascular malformations

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
Published
2013-04-25
Section
Articles

Journal Identifiers


eISSN:
print ISSN: 2141-9248