Varicose vein surgery performed by a surgical care practitioner

2009 ◽  
Vol 24 (1) ◽  
pp. 43-45 ◽  
Author(s):  
N C Hickey ◽  
K Cooper
Keyword(s):  
Saphenous Vein ◽  
Varicose Vein ◽  
Surgical Care ◽  
Training Programme ◽  
Varicose Vein Surgery ◽  
Long Saphenous Vein

A surgical care practitioner (SCP) completed a structured training programme to perform all aspects of varicose vein surgery including sapheno-femoral disconnection and long saphenous vein stripping. Over a four-year period, she performed 152 groin procedures, closed 191 groin wounds and undertook phlebectomies on 91 legs with excellent results. A SCP can be used to improve theatre utilization and efficiency with no obvious drawbacks.

Incidence and pattern of long saphenous vein duplication and its possible implications for recurrence after varicose vein surgery

2002 ◽  
Vol 89 (3) ◽  
pp. 323-326 ◽  
Author(s):  
N. E. Corrales ◽  
A. Irvine ◽  
C. L. McGuinness ◽  
R. Dourado ◽  
K. G. Burnand
Keyword(s):  
Saphenous Vein ◽  
Varicose Vein ◽  
Varicose Vein Surgery ◽  
Long Saphenous Vein

An assessment of the long saphenous vein for potential use as a vascular conduit after varicose vein surgery

1993 ◽  
Vol 18 (5) ◽  
pp. 836-840 ◽  
Author(s):  
William M. Abbott ◽  
Louis M. Fligelstone ◽  
Grace M. Carolan ◽  
Neil M. Pugh ◽  
Ahmed M. Shandall
Keyword(s):  
Saphenous Vein ◽  
Varicose Vein ◽  
Varicose Vein Surgery ◽  
Long Saphenous Vein ◽  
Potential Use

Lichen planus following varicose vein surgery

2006 ◽  
Vol 21 (3) ◽  
pp. 139-140
Author(s):  
E Fine ◽  
T R Cheatle
Keyword(s):  
Lichen Planus ◽  
Saphenous Vein ◽  
Varicose Vein ◽  
Dramatic Improvement ◽  
Varicose Vein Surgery ◽  
Topical Corticosteroids ◽  
Long Saphenous Vein

Six weeks after varicose vein surgery, a patient presented with an intensely irritating, florid, purple, papular rash. This matched the line of long saphenous vein stripping and avulsions perfectly. A diagnosis of lichen planus was made by a consultant dermatologist and confirmed histologically by biopsy. Treatment with topical corticosteroids resulted in a dramatic improvement and the rash healed to leave pigmentation.

A randomized controlled trial of preoperative infiltration with bupivacaine and adrenaline in varicose vein surgery

2006 ◽  
Vol 21 (1) ◽  
pp. 28-31 ◽  
Author(s):  
S C Franks ◽  
C Harmston ◽  
N C Hickey
Keyword(s):  
Randomized Controlled Trial ◽  
Blood Loss ◽  
Saphenous Vein ◽  
Varicose Vein ◽  
Controlled Trial ◽  
The Other ◽  
Operative Blood Loss ◽  
Varicose Vein Surgery ◽  
Randomized Controlled ◽  
Long Saphenous Vein

Objectives: Clinical experience suggested that preoperative infiltration of proposed avulsion sites with bupivacaine and adrenaline reduced bleeding associated with varicose vein surgery. This hypothesis was subjected to a randomized controlled trial. Methods: Twenty patients undergoing bilateral long saphenous vein (LSV) stripping and avulsions were randomized to have one leg infiltrated with 0.25% bupivacaine and the other with 0.25% bupivacaine with adrenaline (1 in 200,000). Following induction of general anaesthesia, 10 mL of local anaesthetic was infiltrated into the groin and 20–30 mL over the marked varicosities down the leg. Bilateral PIN stripping and hook avulsions were performed. Operative blood loss was recorded for each leg and the area of strip-site and avulsion-site bruising was determined five days postoperatively. Results: There was no difference in the numbers of avulsions between the legs receiving adrenaline (median 12, range 4–23) and controls (median 13, range 4–25), but adrenaline significantly reduced the operative blood loss (median 41 mL, range 17–122) compared with control legs (median 79 mL, range 28–210; P < 0.001, Wilcoxon). There was also a significant reduction in postoperative avulsion-site bruising (median 45 cm2, range 13–101 compared with median 70 cm2, range 34–221; P < 0.001). There was a smaller reduction in strip-site bruising (median 50 cm2, range 14–128 compared with median 62 cm2, range 21–141; P < 0.001). Conclusions: Preoperative infiltration with bupivacaine and adrenaline is safe and reduces bleeding and bruising associated with varicose vein surgery.

Perforation-Invagination (PIN) Stripping of the Long Saphenous Vein Reduces Thigh Haematoma Formation in Varicose Vein Surgery

1999 ◽  
Vol 14 (2) ◽  
pp. 43-47 ◽  
Author(s):  
P. J. Kent ◽  
J. Maughan ◽  
M. Burniston ◽  
T. Nicholas ◽  
A. Parkin ◽  
...  
Keyword(s):  
Saphenous Vein ◽  
Varicose Vein ◽  
Preoperative Imaging ◽  
Rank Test ◽  
Varicose Vein Surgery ◽  
Long Saphenous Vein ◽  
Signed Rank ◽  
Wilcoxon Signed Rank Test ◽  
Signed Rank Test ◽  
Haematoma Formation

Objective: To compare the extent of thigh haematoma formation after perforation-invagination (PIN) stripping with that occurring after standard plication stripping of the long saphenous vein. Design: Prospective, within-case, randomised study with analysis on an intention-to-treat basis. Setting: The radioisotope department of a university teaching hospital. Patients: Fourteen patients undergoing bilateral varicose vein surgery. Interventions: Red blood cell labelling in vivo with 99Tcm. Preoperative imaging of the long saphenous vein using a gamma camera. Randomisation of one leg to PIN stripping and the other to standard stripping of the long saphenous vein to the knee. Patients were reimaged 6 h postoperatively. Main outcome measures: The extent of thigh haematoma formation. Results: There was no significant difference with respect to the severity of varicosities in the long saphenous vein in the thigh between the limbs assigned to each group ( n = 11) on the preoperative images ( T = 25, 0.5> p>0.1, Wilcoxon signed rank test). Thigh haematoma in the limbs that had undergone PIN stripping of the long saphenous vein was significantly less than that in the limbs that had undergone standard stripping (T = 10, 0.05> p>0.01, Wilcoxon signed rank test). Conclusion: PIN stripping of the long saphenous vein results in significantly decreased haematoma formation compared with standard stripping.

A Modified Technique for Stripping of the Long Saphenous Vein

1993 ◽  
Vol 8 (1) ◽  
pp. 32-33 ◽  
Author(s):  
P. Bearn ◽  
J. A. Fox
Keyword(s):  
Saphenous Vein ◽  
Varicose Vein ◽  
Varicose Vein Surgery ◽  
Modified Technique ◽  
Long Saphenous Vein ◽  
Satisfactory Method

Objective: To describe a modification of the standard stripping technique that facilitates varicose vein surgery, avoiding unsightly scars and damage to the venous nerve. Interventions: Long saphenous vein stripping using a modified standard stripping device. Conclusions: The modified stripper provides a satisfactory method of removing the long saphenous vein without resulting in large scars.

‘Inversion’ Stripping of the Long Saphenous Vein

1997 ◽  
Vol 12 (3) ◽  
pp. 91-95 ◽  
Author(s):  
S. Wilson ◽  
S. Pryke ◽  
R. Scott ◽  
M. Walsh ◽  
S. G. E. Barker
Keyword(s):  
Blood Loss ◽  
Saphenous Vein ◽  
Varicose Vein ◽  
Postoperative Morbidity ◽  
District General Hospital ◽  
Day Surgery ◽  
Varicose Vein Surgery ◽  
Novel Device ◽  
Exit Wound ◽  
Long Saphenous Vein

Objective: To assess a novel device designed for ‘inversion’ stripping of the long saphenous vein during varicose vein surgery. Design: A prospective, randomized trial. Setting: The Day Surgery Unit of a District General Hospital. Patients: Thirty consecutive patients undergoing unilateral, varicose vein surgery, all fulfilling appropriate requirements for day surgery. Outcome: Peroperative assessment of blood loss and postoperative assessment of complications, bruising, pain and length of stripper exit wound. Results: ‘Inversion’ stripping caused less peroperative blood loss ( p < 0.01). It reduced postoperative morbidity (for pain at 1 week, p = 0.02) and gave an improved cosmetic result (with a smaller stripper exit wound, p < 0.01). Conclusion: An easy-to-use, ‘inversion’ stripping device is described that can reduce the postoperative morbidity often associated with primary varicose vein surgery and can enhance cosmesis.

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