Outcome of transilluminated powered phlebectomy for varicose vein: review of 299 patients (447 limbs)
Autor: | Man Sup Lim, Ji Woong Cho, Jae Woong Han, Jae Pil Jung, So Young Jung, Ji Won Kim |
---|---|
Rok vydání: | 2011 |
Předmět: |
Adult
Male medicine.medical_specialty Time Factors Adolescent Perforation (oil well) Varicose Veins Young Adult Hematoma Postoperative Complications Varicose veins medicine Humans Vein Aged Retrospective Studies Tumescent anesthesia business.industry General Medicine Middle Aged medicine.disease Surgery Venous thrombosis medicine.anatomical_structure Treatment Outcome Seroma Cellulitis Transillumination Female medicine.symptom business Vascular Surgical Procedures Follow-Up Studies |
Zdroj: | Surgery today. 43(1) |
ISSN: | 1436-2813 |
Popis: | Varicose vein incompetence in the legs is very prevalent in the Korean population. New technologies and improvements in established methods have changed the treatment of varicose veins. Transilluminated powered phlebectomy is an alternative surgical technique that combines endoscopic powered vein resection and ablation of superficial varicosities with tumescent anesthesia and irrigated illumination. The present study sought to determine the clinical efficacy and safety of transilluminated powered phlebectomy from clinical data. Four hundred and forty-seven limbs in 299 patients (157 male, 142 female; mean age 50.6 years) with varicose veins were treated with transilluminated powered phlebectomy over a 7-year period. The patients were followed for 1 year postoperatively. The analyzed data included sex, age, body mass index, operative time (from skin incision to the application of elastic bandages on the legs for compression purposes), and postoperative complications. The mean operative time was 87.2 min for both limbs and 57.3 min for single limbs. The median number of incisions was five. Postoperative complications included an episode of cellulitis in 10 patients (2.2%), wound abscess in two patients (0.4%), hematoma in 15 patients (3.4%), residual veins in five patients (1.1%), cutaneous nerve damage in 10 patients (2.2%), and seroma in 13 patients (2.9%). No skin perforation and deep venous thrombosis were observed at the 1-year follow-up. Transilluminated powered phlebectomy is an effective and safe method for the excision of varicosities. |
Databáze: | OpenAIRE |
Externí odkaz: |