Transilluminated Powered Phlebectomy: Advantages and Disadvantages of a New Technique

Authors: Shamiyeh A.; Schrenk P.; Huber E.; Danis J.; Wayand W.U.

Source: Dermatologic Surgery, Volume 29, Number 6, June 2003 , pp. 616-619(4)

Publisher: Wiley-Blackwell

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Abstract:

Background.

Transilluminated powered phlebectomy is a new procedure for minimal invasive varicose vein surgery. Objective.

To evaluate this technique for its benefit and the technique-related risks and complications. Methods.

Thirty patients were prospectively operated with this new technique by the same surgeon (11 of them bilaterally [41 legs in all]). According to the sonography, sapheno-femoral-junction ligation and stripping of the long saphenous vein were done if necessary. The phlebectomy of the side branches was done with the new system (Trivex System/Smith and Nephew). The postoperative follow-up was at 10 days and 6 weeks. Results.

There was no intraoperative complication. The mean operation time per leg was 40 minutes. Twenty-five patients had an uneventful postoperative course. Twenty two have been very satisfied with the cosmetically result. Two patients required reoperation because of postoperative hematoma. One patient developed a seroma, which could be managed via puncture. One patient developed persistent brown scar. The overall morbidity was 12.2%. Conclusion.

Using transilluminated powered phlebectomy, multiple and large incisions could be reduced. A perfect cosmetic outcome might be reached if the surgeon is aware of technique-related complications. To evaluate the real value of this technique, further randomized trials are necessary.

A. SHAMIYEH RECEIVED SUPPORT FOR TRAVEL TO LECTURE ON THIS DEVICE.

Document Type: Research article

DOI: http://dx.doi.org/10.1046/j.1524-4725.2003.29149.x

Publication date: 2003-06-01