Chronic venous insufficiency;
thermal ablation;
stripping;
great saphenous vein;
endovascular;
HIGH LIGATION;
VARICOSE-VEINS;
LASER-ABLATION;
RECURRENCE;
SURGERY;
D O I:
10.1177/02683555241257858
中图分类号:
R61 [外科手术学];
学科分类号:
摘要:
Objective: By incorporating an endovascular component into Great Saphenous Vein stripping, EndoVenous-assisted Invaginated Stripping (EVIS) aims to make the procedure minimally invasive. A study was conducted to investigate the surgical intervention. Methods: Sketches and videos were used to illustrate the technical aspects of EVIS. A prospective cohort study included 20 patients with chronic venous insufficiency (CVI). Results: EVIS is performed as a day-surgery. Technical success was 100%, and no complications were recorded. The mean operative time was 45 minutes, intraoperative pain score was 4.8, post-operative pain was 2.5, 1.8, 1.2, 0.5 at 48 hours, 1, 4, and 12 weeks, respectively. The mean blood loss was 15 mL, and the mean length of the GSV strapped was 19 cm. The follow-up duplex showed a reduction in the diameter of the residual GSV stump. Conclusions: EVIS is a combination of standard techniques that may prove valuable in managing CVI.
机构:
Rijnstate Hosp, Dept Surg, NL-6815 AD Arnhem, NetherlandsRijnstate Hosp, Dept Surg, NL-6815 AD Arnhem, Netherlands
van Eekeren, Ramon R. J. P.
Boersma, Doeke
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机构:
St Antonius Hosp, Dept Vasc Surg, Nieuwegein, NetherlandsRijnstate Hosp, Dept Surg, NL-6815 AD Arnhem, Netherlands
Boersma, Doeke
Elias, Steven
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机构:
Columbia Univ, Div Vasc Surg Vein Programs, New York, NY USA
Englewood Hosp, Englewood, NJ USARijnstate Hosp, Dept Surg, NL-6815 AD Arnhem, Netherlands
Elias, Steven
Holewijn, Suzanne
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Rijnstate Hosp, Dept Surg, NL-6815 AD Arnhem, NetherlandsRijnstate Hosp, Dept Surg, NL-6815 AD Arnhem, Netherlands
Holewijn, Suzanne
Werson, Debbie A. B.
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St Antonius Hosp, Dept Vasc Surg, Nieuwegein, NetherlandsRijnstate Hosp, Dept Surg, NL-6815 AD Arnhem, Netherlands
Werson, Debbie A. B.
de Vries, Jean-Paul P. M.
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St Antonius Hosp, Dept Vasc Surg, Nieuwegein, NetherlandsRijnstate Hosp, Dept Surg, NL-6815 AD Arnhem, Netherlands
de Vries, Jean-Paul P. M.
Reijnen, Michel M. J. P.
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机构:
Rijnstate Hosp, Dept Surg, NL-6815 AD Arnhem, NetherlandsRijnstate Hosp, Dept Surg, NL-6815 AD Arnhem, Netherlands
机构:
USC, Keck Med, Dept Dermatol, 830 S Flower St,Suite 100, Los Angeles, CA 90017 USA
Rosalind Franklin Univ, Chicago Med Sch, Chicago, IL USAUSC, Keck Med, Dept Dermatol, 830 S Flower St,Suite 100, Los Angeles, CA 90017 USA
Ahadiat, Omeed
Higgins, Shauna
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USC, Keck Med, Dept Dermatol, 830 S Flower St,Suite 100, Los Angeles, CA 90017 USAUSC, Keck Med, Dept Dermatol, 830 S Flower St,Suite 100, Los Angeles, CA 90017 USA
Higgins, Shauna
Ly, Alexandre
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USC, Keck Med, Dept Dermatol, 830 S Flower St,Suite 100, Los Angeles, CA 90017 USAUSC, Keck Med, Dept Dermatol, 830 S Flower St,Suite 100, Los Angeles, CA 90017 USA
Ly, Alexandre
Nazemi, Azadeh
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USC, Keck Med, Dept Dermatol, 830 S Flower St,Suite 100, Los Angeles, CA 90017 USAUSC, Keck Med, Dept Dermatol, 830 S Flower St,Suite 100, Los Angeles, CA 90017 USA
Nazemi, Azadeh
Wysong, Ashley
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USC, Keck Med, Dept Dermatol, 830 S Flower St,Suite 100, Los Angeles, CA 90017 USAUSC, Keck Med, Dept Dermatol, 830 S Flower St,Suite 100, Los Angeles, CA 90017 USA