Lawrence Peter F, Vardanian Andrew J
Division of Vascular Surgery, Gonda (Goldschmied) Vascular Center, University of California, Los Angeles, CA 90095-6908, USA.
J Vasc Surg. 2007 Nov;46(5):1052-4. doi: 10.1016/j.jvs.2007.08.029.
We report a new technique to remove varicose veins and reduce recurrence from missed veins. A rigid cannula with a light source injects tumescent solution and transilluminates under veins. Varicose veins are removed with stab phlebectomy using a modified crochet hook and mosquito clamp. Additional tumescent solution flushes hematomas and compresses empty vein channels, resulting in less pain, bleeding, and pigmentation. More than 200 patients have undergone light-assisted stab phlebectomy at the Gonda Vascular Center, with high patient and surgeon satisfaction. This sutureless technique allows complete and rapid varicose branch vein removal with few missed varicose veins, little bruising, and an excellent cosmetic result.
我们报告了一种去除静脉曲张并减少遗漏静脉复发的新技术。带有光源的刚性套管注入肿胀液并在静脉下方进行透照。使用改良的钩针和蚊式止血钳通过小切口静脉切除术去除静脉曲张。额外的肿胀液冲洗血肿并压缩空的静脉通道，从而减轻疼痛、出血和色素沉着。超过200名患者在贡达血管中心接受了光辅助小切口静脉切除术，患者和外科医生满意度很高。这种无缝合技术能够完整、快速地去除曲张分支静脉，遗漏的曲张静脉很少，瘀伤轻微，美容效果极佳。
