Background Scalp arteriovenous malformations (AVM) present challenges in management due to their rarity and intense vascularity. Various surgical techniques, including proximal artery temporary clipping and double purse-string, suturing have been proposed for their treatment. This study aims to compare the outcomes of these two surgical approaches. Methods A retrospective analysis of 17 cases of scalp AVMs treated between 2017 and 2023 was conducted. Patients were divided into two groups based on the surgical technique employed: proximal clipping (Group 1) and double purse-string suturing (Group 2). Data regarding operative time, blood loss, recurrence, and cosmetic outcomes were collected and compared between the two groups. Results Group 1 comprised eight patients, while Group 2 comprised nine patients. Mean operative time was 67.12 ± 23.18 minutes in Group 1 and 118.88 ± 25 minutes in Group 2. Mean blood loss was 137.5 ± 50ml in Group 1 and 261.11 ± 111.18ml in Group 2. No significant differences were noted in recurrence rates between the two groups. Group 1 demonstrated reduced intraoperative blood loss and operative time compared to Group 2. Conclusion Proximal clipping appears to offer advantages over double purse-string suturing in the management of scalp AVMs, with reduced intraoperative blood loss and operative time. However, further studies with larger sample sizes are warranted to validate these findings. This study provides valuable insights into the surgical management of scalp AVMs and highlights the need for standardized treatment protocols.

Scalp arteriovenous malformations, surgical techniques, proximal clipping, double purse- string suturing, comparative study, operative outcomes.