Varicose Vein Excision

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SAMPLE EXCERPT
- Full procedure text, video and illustrations available with the full product
PRE-PROCEDURE
INDICATIONS
  • Symptomatic varicosities that remain after correction of superficial reflux disease
CONTRAINDICATIONS
  • Severe deep venous reflux
  • Advanced (C4, C5, C6) venous insufficiency
  • Extensive comorbid conditions
EQUIPMENT
  • Scalpel
  • Vein hook
  • Mosquito clamp
ANATOMY
  • Varicose veins are located in the lower extremities and are always superficial to the fascia. The most important anatomic considerations involve awareness of the locations of superficial nerves to avoid damage to these structures. These include the saphenous nerve, which runs medially from the ankle to the groin, and the superficial peroneal nerve, which courses laterally below the knee.

PROCEDURE
Sample excerpt does not include step-by-step text instructions for performing this procedure
The full content of this section includes:
  • Step-by-step text instructions for performing the procedure
  • Clinical pearls providing practical clinical tips from medical experts
  • Patient safety guidelines consistent with Joint Commission and OHSA standards
  • Links to medical evidence and related procedures

POST-PROCEDURE
CARE
  • The patient wears an Ace bandage or compression stocking for 1 week.
COMPLICATIONS
  • Hematoma
  • Superficial nerve injury
  • Infection
RESULT ANALYSIS
  • Results are excellent, with most patients returning to normal activity within a week. Limitations result from hematoma formation and wound breakdown. In most cases, 90% of marked veins are successfully removed, and any "missed" veins can be treated with sclerotherapy postoperatively. It is helpful if patients are advised of this in advance of the procedure. Long-term recurrence of varicosities is about 20% at 5 years.
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