22-year old Nigerian fight backs Arteriovenous Malformation

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I had endearing interest in treating vascular malformations. Capillary , Venous malformations are easy to treat . Arterio Venous malformations commonly known as AVM are little challenging to treat. Blood loss , distal ischemia,limb loss are constant danger, it takes little learning curve to  master the management of AVM.
Mary was a 22 years old lady who come to my OPD in Fortis Gurgaon . She had AVM in right hand involving radial artery and dorsal veins . Since her puberty it was bothering her pain, ischemia and bleeding was constant reminder of its presence.She had two surgery in Nigeria which were successful to certain extent. She had a wound which was not healing for nine months, in frustration she decided to come to India. India enjoy fairly good reputation in private healthcare industry.

I examined her and decided that she needs excision of AVM and groin flap cover for the wound. we operated her on 5/5/17 in which I excised her AVM. We mobilized skin flaps to cover her wound , which break downed in due course of time .On 22/5/17 she under went groin flap cover , which was duly divided after three weeks . Eventually all her wounds healed, her mood brightened and she was happy when she left India. This little documentary was made by treatment traveler a medical tourism company which  facilitated her stay in India.







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