Shamiyeh Andreas, Schrenk Peter, Huber Elke, Danis Jan, Wayand Wolfgang Ulf
Ludwig Boltzmann Institute for Operative Laparoscopy at the Second Surgical Department, Academic Teaching Hospital, Linz, Austria.
Dermatol Surg. 2003 Jun;29(6):616-9. doi: 10.1046/j.1524-4725.2003.29149.x.
Transilluminated powered phlebectomy is a new procedure for minimal invasive varicose vein surgery.
To evaluate this technique for its benefit and the technique-related risks and complications.
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.
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%.
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.
透光动力静脉切除术是一种用于微创静脉曲张手术的新方法。
评估该技术的益处以及与技术相关的风险和并发症。
由同一位外科医生对30例患者前瞻性地采用这种新技术进行手术（其中11例为双侧手术，共41条腿）。根据超声检查结果，必要时进行大隐静脉股静脉交界处结扎和大隐静脉剥脱术。使用新系统（Trivex系统/施乐辉公司）进行侧支静脉切除术。术后随访时间为10天和6周。
术中无并发症发生。每条腿的平均手术时间为40分钟。25例患者术后恢复顺利。22例患者对美容效果非常满意。2例患者因术后血肿需要再次手术。1例患者出现血清肿，可通过穿刺处理。1例患者出现持续性褐色瘢痕。总体并发症发生率为12.2%。
采用透光动力静脉切除术可减少多处大切口。如果外科医生了解与技术相关的并发症，可能会获得完美的美容效果。为评估该技术的真正价值，有必要进行进一步的随机试验。
