Endostripping: A New Minimally Invasive Technique for Limited Stripping of the Greater Saphenous Vein

1999 ◽  
Vol 14 (4) ◽  
pp. 158-161
Author(s):  
A. Shamiyeh ◽  
P. Schrenk ◽  
R. Rieger ◽  
W. Wayand

Objective: To describe a new technique for limited stripping (in the thigh) of the greater saphenous vein (GSV) to avoid painful postoperative haematomas. Design: Pilot study. Setting: General Hospital Linz, Second Surgical Department, Linz, Austria. Patients: Sixteen patients undergoing primary varicose vein surgery for varices on the long saphenous vein. CEAP clinical stage: C2 ( n = 12), C3 ( n = 4). Intervention: Removal of the GSV from the thigh by endoscopic dissection with electrocautery division of the main tributaries. Phlebectomy for varices in GSV tributaries. Main outcome measures: Clinical assessment of the extent of haematomas and cosmetic appearance. Results: Fifteen of 16 operations were completed as intended without any technical problem. In one case conversion to conventional stripping was required due to adhesion of the saphenous vein to a previous operation scar in the thigh. The median total operation time for one limb was 57 min. A postoperative haematoma occurred in only one patient. There was no additional postoperative complication. Conclusion: Endostripping is a new technique for stripping of the GSV and reduces postoperative haematoma. It can be performed in a reasonable operation time and is safe. The value of this technique should be assessed in clinical trials.

1993 ◽  
Vol 8 (4) ◽  
pp. 171-173 ◽  
Author(s):  
A. Oesch

Objective: To assess the efficacy of a new technique for stripping segments of the short saphenous vein (SSV) or long saphenous vein (LSV). Design: Preliminary report on 83 cases. Patients: Seventy-five patients with incompetence of the SSV or LSV. Interventions: Forty-two partial Strippings and one complete stripping of the SSV; 40 Strippings of segments of the LSV. Results: The method described (‘Pin-stripping’) permits stripping without visualization of the distal end of the vein. Removal of the vein is possible through a stab incision and is feasible under local anaesthesia. Operation time is reduced and no postoperative complication was seen. Conclusions: Compared with conventional Strippings, ‘Pin-stripping’ offers several advantages in removing segments of the LSV or SSV.


2011 ◽  
pp. 114-118
Author(s):  
Nhu Hiep Pham ◽  
Huu Thien Ho ◽  
Anh Vu Pham ◽  
Van Nghia Tran

Objectives: Laparoscopic appendectomy (LA) is becoming popular for the treatment of acute appendicitis. Since it was the first described, LA has been modified various times. We present the results of a new technique of LA conducted through a single port. Materials and methods: From March 2011 to November 2011, we have performed 28 operations Single Port Laparoscopic Appendectomy at the Surgical Department of Hue Central Hospital. Results: There were 28 patients, 57.1% were female, 42.9% were male, rate female/male was 1.3. The mean age is 36.4. The second port insertion was required in 2 patients (7.2%). Mean operation time was 44.6 minutes and postoperative hospital stay 3-5 days took 71.4%. Postoperative compications occurred in 1 case (3.6%) was of omphalitis. During 2-4 weeks follow up no problem related to the appendectomy have been reported. Conclusions: Single - port intracorporeal appendectomy procedure is a safe, minimal invasive procedure with excellent cosmetic results.


1971 ◽  
Vol 62 (6) ◽  
pp. 837-843 ◽  
Author(s):  
F. Beachley Main ◽  
David C. Fecht ◽  
Sang Bock Park ◽  
Gerald E. McGinnis ◽  
George J. Magovern

2018 ◽  
Vol 2018 ◽  
pp. 1-6
Author(s):  
Suxi Gu ◽  
Kedong Hou ◽  
Wei Jian ◽  
Jianwei Du ◽  
Songhua Xiao ◽  
...  

Purpose. Percutaneous endoscopic lumbar discectomy (PELD) is a minimally invasive disc surgery that can be performed under local anesthesia and requires only an eight-mm skin incision. For the patients with lumbar foraminal stenosis, the migrated disc is difficult to remove with a simple transforaminal approach. In such cases, the foraminoplasty techniques can be used. However, obtaining efficient foramen enlargement while minimizing radiation exposure and protecting the nerves can be challenging. Methods. In this study, we propose a new technique called the Kiss-Hug maneuver. Under endoscopic viewing, we used the bevel tip of a working cannula as a bone reamer to enlarge the foramen. This allowed us to efficiently enlarge the lumbar foramen endoscopically without the redundancy and complications associated with reamers or trephines. Results. Details of the four steps of the Kiss-Hug maneuver are reported along with adverse events. The advantages of this new technique include minimizing radiation exposure to both the surgeon and the patient and decreasing the overall operation time. Conclusion. The endoscopic Kiss-Hug maneuver is a useful and reliable foraminoplasty technique that can enhance the efficiency of foraminoplasty while ensuring patient safety and reducing radiation exposure.


1997 ◽  
Vol 26 (3) ◽  
pp. 405-414 ◽  
Author(s):  
William D. Jordan ◽  
David C. Voellinger ◽  
Per T. Schroeder ◽  
Holt A. McDowell

2013 ◽  
Vol 29 (10) ◽  
pp. 694-697 ◽  
Author(s):  
Marco P Viani ◽  
Giacomo M Viani ◽  
Jessica Sergenti

Objective The aim of this article is to present a new technique for minimally invasive treatment of varicose veins disease of lower extremities. Methods One-shot scleroembolization is a new technique designed for the treatment of varicose veins of the lower extremities, which associates a mechanical interruption of the sapheno-femoral junction to classic sclerotherapy with no need for surgery or anesthesia. This is achieved with the combined use of a coil positioned in the terminal portion of the great saphenous vein and a foamed sclerosant drug. Results At three months’ follow-up no complications have been observed. The great saphenous vein was still occluded in all patients (nine out of nine). Conclusions One-shot scleroembolization seems to be an effective technique for the treatment of varicose veins disease in outpatients, with the advantage of causing little distress to the patient.


2018 ◽  
Vol 5 (8) ◽  
pp. 2727
Author(s):  
Sudheendra Tekalkote ◽  
Sartaj B. Hussein

Background: The long incision is associated with significant intra-operative and postoperative complications. The use of minimal invasive saphenous vein harvesting has been advocated in an effort to minimize such wound related problems. The objective of this study was to compare the morbidity associated with long saphenous vein harvesting using the traditional open technique (A) against a minimally invasive technique using the Mayo vein stripper (B) that involves multiple short incisions.Methods: Authors conducted a prospective randomized controlled study in 80 patients undergoing first time coronary artery bypass grafting. Pain and healing was assessed on each postoperative day. Rings of long saphenous vein were subjected to organ-bath evaluation of endothelium-dependent and endothelium-independent relaxation. Three patients were excluded from the study, leaving 38 patients in Group A and 39 in Group B.Results: With respect to operative procedure, Group A had a greater length of vein harvested than Group B. There was no statistical difference in pain scores and endothelium-dependent or endothelium-independent relaxation between the two groups. However, there were significantly more infections in Group A compared with Group B.Conclusions: Harvesting vein through multiple incisions using the Mayo vein stripper is quicker, results in fewer infections and has no deleterious effect on endothelial function compared to open technique.


2020 ◽  
Vol 1 (2) ◽  
Author(s):  
Ahmad Ilham Fauzi ◽  
Nurul Hiron ◽  
Nundang Busaeri

Feeding is one of the important thing in  the case of fish cultivation and harvesting the high population mobility in Indonesian still cannot be matched by the availability of production, nowadays, in general feeding is still depending  on direct human help, so that people now just found a new technique to feed fish,  runs and operates  the tools automatically regarding to time and  schedule that is provided or based on operation time of period they wanted and how much they want to feed. With the technology advancement, i would try to create innovating feeding machine with the mechanic system, make the feeding can be programmed and the duration of feeding can be controlled. By way of vertical valve modeling that works when getting an order from arduino UNO, so that once the valve opening with opening anggle 0o to 45o,  0o to 90o, 0o to 180o only requires a short duration making the required power more efficient.Keyword : Arduino Uno,  Feeding,   Mechanic, Valve


Sign in / Sign up

Export Citation Format

Share Document