Use of the LigaSure^TM in Cervicofacial Venous Malformation Excision

Eri Konno, Emi Ochi, Hisao Ogata, Kazuo Kishi

Department of Plastic and Reconstructive Surgery, Keio University School of Medicine, Tokyo, Japan.

DOI: 10.4236/mps.2013.33021                

Abstract

Complete surgical excision of venous malformations (VMs) is frequently complicated by massive bleeding and nerve damage, particularly in the cervicofacial area. This report describes a novel technique for the resection of cervicofacial VMs using the LigaSure^TM (Valleylab, Tyco International Healthcare, Boulder, CO) vessel sealing system. We report three cases of VM excision using this vessel sealing system, and recorded intraoperative and postoperative blood loss, operative time, and postoperative complications. In all cases employing the Ligasure^TM, perioperative blood loss was less than 600 ml, no patients developed postoperative hematomas or other bleeding complications, and no patients developed a facial palsy even if the VM was located close to the facial nerve. LigaSure^TM provides excellent hemostasis with few complications when used for cervicofacial VMs.

Keywords

Venous Malformations (VMs); LigaSure^TM; Vessel Sealing System; Postoperative Bleeding

Conflicts of Interest

The authors declare no conflicts of interest.

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