IngentaConnect Transilluminated Powered Phlebectomy: Advantages and Disadvantage...

In this: publication
By this: publisher
In this Subject: <a title="Dermatology" href="/content/subcat;jsessionid=11dxctpdshwbl.alice?j_subject=200&j_availability=">Dermatology ,&nbsp; <a title="Surgery" href="/content/subcat;jsessionid=11dxctpdshwbl.alice?j_subject=215&j_availability=">Surgery
By this author: Shamiyeh A. ;&nbsp; Schrenk P. ;&nbsp; Huber E. ;&nbsp; Danis J. ;&nbsp; Wayand W.U.

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.

Transilluminated Powered Phlebectomy: Advantages and Disadvantages of a New Technique