title: Perioperative care of the vascular anomaly patient.
abstract: Patients with vascular anomalies present specific and unique challenges to providers of their postoperative care. Vascular anomalies can range from localized solitary lesions to diffuse lesions with vessel malformations and associated soft tissue, muscle, organ, and bone involvement. Perioperative issues for these patients can be complicated and include coagulopathies requiring anticoagulation, the need for postoperative surgical drains and specialized wound care, and the use of compression garments to maintain the desired postoperative result. This article will address these specific concerns for patients with vascular anomalies in order to create a framework for consistent and appropriate perioperative care.
authors.affiliation: Hemangioma and Vascular Malformations Center, Cincinnati Children׳s Hospital Medical Center, MLC 2023, 3333 Burnet Avenue, Cincinnati, Ohio 45229. Electronic address: carol.chute@cchmc.org.
authors.forename: Carol
authors.initials: C
authors.lastname: Chute
authors.affiliation: Division of Home Care Services, Cincinnati Children׳s Medical Center, Cincinnati, Ohio.
authors.forename: Beth
authors.initials: B
authors.lastname: Stein
authors.affiliation: Vascular Anomalies Center, Boston Children׳s Hospital, Boston, Massachusetts.
authors.forename: Mary Beth
authors.initials: MB
authors.lastname: Sylvia
authors.affiliation: Vascular Anomalies Center, Boston Children׳s Hospital, Boston, Massachusetts.
authors.forename: Erin
authors.initials: E
authors.lastname: Spera
mesh_terms: D006801:Humans; D019990:Perioperative Care / Q000379:methods* / Q000592:standards; D054079:Vascular Malformations / Q000601:surgery*
keywords: Anticoagulation; Compression garment; Surgical drains; Vascular anomalies; Wound care