The therapeutic option of advanced CVI is surgical treatment, including various techniques such as surgical excision of VVs with ligation and stripping of the great or superficial saphenous vein, sclerotherapy, phlebectomy
via multiple minor incisions, or endovascular therapy using radiofrequency or laser, as minimally invasive alternatives to surgery.
The surgical option comprises high ligation and stripping combined with phlebectomy
at the knee level.5 Surgery usually necessitates general anesthesia, and it may lead to certain morbidities such as hemorrhage, bleeding, pain, infection, neural damage, and scarring.3,6 EVLA is a less invasive method than surgery, and it leads to lower morbidity rates, thereby impacting the quality of life in a positive manner.6
They cover anatomy; the pathophysiology of varicose veins; the clinical exam; imaging; compression therapy; endovenous thermal ablation; sclerotherapy; ambulatory phlebectomy
; safety, quality, and complications; and new endovascular techniques.
Removal of bulging varicose veins visible under the skin but only once the cause has been treated using one of the above methods.
Another procedure is phlebectomy
, which involves having a small incision made over the vein; the vein is then removed with a small crochet hook-like instrument.
A reduction in pain at the site of injection, obtained through the addition of bicarbonate to lidocaine or mepivacaine, has been demonstrated in several clinical trials where local anaesthetics were given as cutaneous infiltration, including the treatment of traumatic wound lacerations , anaesthesia for digital nerve block , skin infiltration and intravenous catheterization prior to surgery , surgery for correction of prominent ears , repair surgery for combined upper eyelid blepharoplasty and levator advancement ptosis , carpal tunnel surgery [14, 15], and ambulatory phlebectomy
procedures, the latter study testing specifically the association between mepivacaine and bicarbonate .
Medical methods include the use of venoactive drugs, compression treatment, sclerotherapy, phlebectomy
, open venous surgery with ligation and stripping, and endovenous ablation techniques [3, 5].
Capacities of ultrasound study in a follow up of patients with lower extremity varicose veins after phlebectomy
. Vestn Rentgenol Radiol 2011;1:22-5.
This involves having a small incision made over the vein, which is then removed with an instrument that looks like a small crochet hook.
Conventional surgery was performed under general anesthesia and entailed high ligation of the saphenofemoral junction and phlebectomy
The company said TRIVEX is a Transilluminated Powered Phlebectomy
System, offering a minimally invasive way to remove varicose veins in a matter of minutes.
-The appropriate timing and use of phlebectomy