brahmanand clinic

Venous malformation is a bunch of dilated veins. They are due to abnormal smooth muscle in the veins  of  of affected part. Lesions behave like congenital varicose vein;they dilate slowly over time,blood stagnation can cause thrombosis and pain. Endothelial cell are normal , intralesional clotting often occurs. Phleboliths are formed due to calcified intravascular fibrovascular ingrowth. They are typical of venous malformation. Psychosocial problem are often found because of its appearance. Pain,bleeding,ulceration and Obstruction and destruction of tissues . Sclerotherapy Lasers  Surgical excision pre op photo post op at three weeks after excision of venous malformation 28 year old male presents with swelling on forearm , pain On movement.Swelling is compressible, non tender. MRI revealed extensive venous malformation on dorsal aspect of forearm. He was planned for surgery, near total resection of malformation w...

pre op photo pre op photo phlebolith seen in CT angio A 14 year old boy having venous malformation partial excision of malformation and cauterisation of venous malformation was done. Dr Adhishwar Sharma 91 8860650846 adhishwar7@gmail.com

I have a special interest in AV malformations , when this 25 year old young lady come into my OPD with a hand swelling . She has painful swelling in palm for last 5 years which was static in size for past few years . She had a slight painful swelling which was compressible and no bruit was heard or felt. She showed angiogram which showed that involved carpal arch . She was operated 0n 17 /9/2016 ,after opening up we found that it was a involving lumbrical muscles . So we excised involved muscle Tourniquet was released and hemostasis was achieved dressing was done and light compression applied . Next day physiotherapy was started. Sutures were removed after 15 days patient had uneventful recovery afterwards. Excision of AVM , sclerotherapy , embolization are the treatment options for vascular malformation. Morbidity of excision should not be worse than disease itself . Even subtotal excision is better than total excision if safer. Asthetic outcome of scar and function should be ...

Angiogram of vascular anomaly pre operative photo Post operative photo It is a story of 19 year old girl who was suffering from vascular malformation .She had red colored nevus since birth. It was stable non growing as she went into teens it started troubling her . Pain , discomfort ,impairment in activity of daily life, fatigue were main complaints.Sh e went to local doctors and were investigated. Angio gram done shown to be a large Arteriovenous( AVM) malformation.It had large multiple feeders coming into anomaly from Iliac artery as shown in angiogram. Her father was searching for hospital and doctor to cure her daughter. Search in Iraq proved futile . Then they turned  to  India, and landed in Fortis Faridabad in year 2015. I operated her in December 2015 and excised entire anomaly.  Large vessels coming out were caught and ligated. drain was also placed.Wound closure was achieve by mobilizing skin flaps . Post operative was uneventful, drain was remov...