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Surgical Treatment of Varicose Vein - TIPP(Transilluminated Powered Phlebectomy) -  

이교준 (연세대학교 의과대학 영동세브란스병원 흉부외과)
김해균 (연세대학교 의과대학 영동세브란스병원 흉부외과)
정은규 (연세대학교 의과대학 영동세브란스병원 흉부외과)
강두영 (연세대학교 의과대학 영동세브란스병원 흉부외과)
Publication Information
Journal of Chest Surgery / v.35, no.2, 2002 , pp. 144-148 More about this Journal
Abstract
The present study was done to determine the efficacy and safety of varicose vein removal using a minimally invasive, powered vein-extracting device with cutaneous transillumination and tumescent anesthesia techniques and then compared this to a retrospective group of conventional phlebectomy operations. There were 133 limbs in 104 patients(72 women, 32 men) treated with the use of the vein extractor aided by transcutaneous illumination. The hydrodissection was performed with Trivex™ Irrigated illuminator(Smith & Nephe $w^{ R}$) system using normal saline after the 2~3mm sized skin incision. Varicose clusters were extracted by the use of TriveTM esector(Smith & Nephe $w^{ R}$) system under transillumination. After the varisoce vein extraction, the operation area was compressed with surgical pad for bleeding control. The complication rate was 3.84% The mean number of incisions was 3.24 and mean operative time per limb was 65.9 minutes. The mean hospitalization was 1.86 days. The varicose vein extraction using transilluminated powered phlebectomy(TIPP) is a safe, efficacious and cosmetically satisfactory method. The procedure decreases the operating time and the number of incisions required to remove varicose clusters. Further evaluation and long term follow up will be necessary to determine the recurrence rate and long termcomplications.to determine the recurrence rate and long termcomplications.
Keywords
Varicose Veins; Surgeny methool;
Citations & Related Records
Times Cited By KSCI : 1  (Citation Analysis)
연도 인용수 순위
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6 하지정맥류의 임상얀상 /
[ 최수승 ] / 대흉외지   과학기술학회마을