Journal ArticleDOI
Ambulatory phlebectomy in the office.
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TLDR
Ambulatory phlebectomy is a minor, office-based surgical procedure designed to remove varicose veins that is a perfect complement to endovenous thermal ablation of the saphenous vein.Abstract:
Ambulatory phlebectomy is a minor, office-based surgical procedure designed to remove varicose veins. It is a perfect complement to endovenous thermal ablation of the saphenous vein. With this combination, patients can expect all varicose veins to vanish following a 1-hour procedure that employs only local anesthesia in the comfort of a physician's office. Advantages of office-based surgery are ease of scheduling for doctors and patients, less paperwork, elimination of travel time, and cost containment for the health care system. Furthermore, a procedure that is performed by the same staff daily is more streamlined and safe.read more
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Editor's Choice - Management of Chronic Venous Disease: Clinical Practice Guidelines of the European Society for Vascular Surgery (ESVS).
TL;DR: In this article, the management of chronic venous disease is addressed in the Clinical Practice Guidelines of the European Society for Vascular Surgery (ESVS) and the ESCV guidelines are presented.
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Randomized clinical trial of VNUS ClosureFAST radiofrequency ablation versus laser for varicose veins.
TL;DR: Endovenous laser ablation and radiofrequency ablation are both associated with excellent technical, clinical and patient‐reported outcomes for the treatment of varicose veins and are compared in a randomized clinical trial.
Journal ArticleDOI
Stasis Dermatitis: Pathophysiology, Evaluation, and Management
TL;DR: Interventional therapy currently includes minimally invasive techniques such as endovenous thermal ablation and ultrasound-guided foam sclerotherapy, which have supplanted the use of open surgical techniques.
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Changing to endovenous treatment for varicose veins: How much more evidence is needed?
TL;DR: Endovenous treatment under local anaesthesia in a clinic room or office-based setting is now being recognized internationally as an acceptable standard for dedicated venous practice in a cost-effective environment and many centres are now conducting trials testing the latest endovenous device technologies with each other to support the development of contemporary pathways of care.
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Management of secondary varicosities.
TL;DR: Physicians have several options to treat varicose veins that remain after successful axial vein ablation, but foam sclerotherapy is effective for all sorts of veins, but may become less effective and have a higher risk of complications when treating large diameter veins.
References
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Journal ArticleDOI
Endovenous laser treatment of saphenous vein reflux: long-term results.
TL;DR: Endovenous laser appears to offer these benefits with lower rates of complication and avoidance of general anesthesia, comparable or superior to those reported for the other options available for treatment of GSV reflux, including surgery, US-guided sclerotherapy, and radiofrequency ablation.
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Tumescent technique for local anesthesia improves safety in large-volume liposuction.
TL;DR: The tumescent technique for local anesthesia improves the safety of large-volume liposuction by virtually eliminating surgical blood loss and by completely eliminating the risks of general anesthesia.
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Stripping the long saphenous vein reduces the rate of reoperation for recurrent varicose veins: five-year results of a randomized trial
TL;DR: Stripping reduced the risk of reoperation by two thirds after 5 years and should be routine for primary long saphenous varicose veins.
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Neovascularisation is the principal cause of varicose vein recurrence: results of a randomised trial of stripping the long saphenous vein.
TL;DR: Recurrence is common after varicose vein surgery and in this study was caused principally by neovascularisation at the ligated saphenofemoral junction, which was detected in 52% of limbs and was the commonest cause of recurrence.