Open surgery for Varicose veins

Slides:

Advertisements

Similar presentations

Premier Laser Vein Clinic

Advertisements

Joint Hospital Surgical Grand Round 19th October 2013

Endovenous Laser Therapy for Lower Limb Varicose Veins: intermediate outcomes of 800 limbs. Khalid AL-Ghamdi, MD Vascular Fellow, King Saud University.

Varicose Veins Core Surgical Trainees Vascular Teaching Day Kent and Canterbury Hospital 1st December 2009 Hasantha Thambawita SpR Vascular Surgery.

Lower Extremity Venous Disease: Peripheral Venous Insufficiency

Venous Reflux Disease and Current Treatment Modalities VN20-03-B 10/04.

Lowest traumatism Binocular loupes  3.5 Without electric scalpel Surgicalprinciples Horizontal incision Skin - Aponevrosis.

Your Company Name Procedure Education DAVID DIMARCO MD.

George Sfyroeras MD, MSc, PhD, FEBVS Vascular Surgery Department Attikon University Hospital George Sfyroeras MD, MSc, PhD, FEBVS Vascular Surgery Department.

New Treatment Options for Varicose Veins Minimally Invasive Techniques to Remove Varicose Veins Dr. Shannon D. Thomas FRACS Vascular, Endovascular and.

SURGICAL TREATMENT OF TRUNCAL VEINS Stephen F. Daugherty, MD, FACS, RVT, RPhS.

Vic V. Vernenkar, D.O. St. Barnabas Hospital Dept. of Surgery

Vascular surgery Photos

Venous Disease.

SURGICAL TREATMENT OF TRUNCAL VEINS Stephen F. Daugherty, MD, FACS, RVT, RPhS.

Find best Vein treatment in South Florida Are you worried about vein treatment?? We specialize in vein treatment in South Florida. Call us on

Varicose vein surgery: a few medicolegal considerations Jon Ghosh SpR General / Vascular Surgery.

Common Medical Procedures for Treating Varicose Veins.

Peripheral Venous Reflux - When is Surgical Intervention Necessary?

VenaCure EVLT™ Procedure Education by Dr

Endo-venous laser ablation of small saphenous vein

Non Thermal, Non Tumescent Ablation: How and When To Cool It Down

Assistant Lecturer of Vascular Surgery, Zagazig University

April 20, 2018 Comparison of Monopolar vs Segmental Radiofrequency Ablation in Endovenous Treatment of Lower Limb Chronic Venous Insufficiency Good morning.

Venous Diseases.

Understanding Chronic Venous Insufficiency

Minimally Invasive Varicose Vein Therapy

SITE 2013 Barcelona, May 8th to 11th, 2013

Endovenous laser ablation treatment of varicose veins and superficial venous insufficiency. (A) The right great saphenous vein was treated in this patient.

New England Society of Interventional Radiology Case Presentation

Introduction Methods Results Conclusions

Endovenous Radiofrequency Ablation

Assistant prof. Abdulameer M. Hussein

Klippel Trenaunay Syndrome Case presentation

Endo-Venous Laser Therapy vs stripping: A randomized prospective comparison Nalaka Gunawansa.

Peripheral vascular exam

Miscellaneous Diagnostic Tests and Treatments

Vascular surgery Photos

What is PHLEBOLOGY?. What is PHLEBOLOGY? Anatomy review Deep vein system vs. Superficial vein system.

Microfoam ablation of the long saphenous vein

Systematic review and meta-analysis of randomized controlled trials evaluating long- term outcomes of endovenous management of lower extremity varicose.

What is Varicose Veins?

venous drainage and Lymphatics of lower limb

Kathleen D. Gibson, MD, Brian L

Sanjev Sarin, FRCS, David A. Shields, FRCS, John H

The anatomy of the small saphenous vein: Fascial and neural relations, saphenofemoral junction, and valves Gregor Schweighofer, MD, Dominic Mühlberger,

Todd M. Gerkin, MD, Hugh G. Beebe, MD, David M. Williams, MD, Jess R

Neovascularization and recurrent varicose veins: more histologic and ultrasound evidence André M van Rij, MD, FRACS, Gregory T Jones, PhD, Gerry B Hill,

Steven T Deak, MD, PhD, FACS Deak Vein NJ Clinic Somerset, NJ

Retrograde Injection Technique for Endovenous Chemical Ablation of Varicose Veins, A Case Study Steven T Deak, MD, PhD, FACS Hungarian Medical Association.

Ultrasound guided foam sclerotherapy of varicose veins

Nicos Labropoulos, PhD, DIC, RVT, Angela A

The importance of deep venous reflux velocity as a determinant of outcome in patients with combined superficial and deep venous reflux treated with endovenous.

Anatomical variations of the femoral vein

Retrograde Microfoam Ablation of Superficial Venous Insufficiency:

Review of treatment for varicose veins

Comparing endovenous laser ablation, foam sclerotherapy, and conventional surgery for great saphenous varicose veins Anke A.M. Biemans, MD, Michael Kockaert,

Retrograde Endovenous Microfoam Chemical Ablation of Varicose Veins and Venous Valvular Reflux in CEAP 6 Ulcers Steven T Deak, MD, PhD, FACS VEITHsymposium.

Extension of saphenous thrombus into the femoral vein: A potential complication of new endovenous ablation techniques Geza Mozes, MD, PhD, Manju Kalra,

Randomized trial comparing endovenous laser ablation of the great saphenous vein with high ligation and stripping in patients with varicose veins: Short-term.

Prospective randomized trial comparing endovenous laser ablation and surgery for treatment of primary great saphenous varicose veins with a 2-year follow-up

Quantification of venous reflux by means of duplex scanning

Great saphenous vein stripping with preservation of sapheno-femoral confluence: Hemodynamic and clinical results Paul Pittaluga, MD, Sylvain Chastanet,

Duplex scanning in the assessment of deep venous incompetence

Clinical Case Symptomatic CVD without varicose veins

Vascular Surgery Michael Ricci, MD.

John J. Skillman, MD, K. Craig Kent, MD, David H

Regarding “Endovenous laser treatment of the short saphenous vein: Efficacy and complications” Seung Joon Park, MD, Su Bin Yim, MD, Dae Won Cha, MD,

Sanjev Sarin, FRCS, David A. Shields, FRCS, John H

RFA in the management of pulmonary tumours

Presentation transcript:

Open surgery for Varicose veins Ganesh Kuhan Nottingham University Hospitals

Treatment of varicose veins Endothermal ablation Foam sclerotherapy Open Surgery Compression Nice 2013 Current nice guidelines published in 2013 suggest that all patients should be offered endothermal ablation as a first line treatment. If they are not suitable for EVT then foam should be offered and as a 3 rd line procedure open surgery stands

Anatomy Basic anatomy there are deep and sup venous system. Sup venous system has long and short saphenous sytstem as shown, sf junction, spj, lsv, ssv are shown

Tortuous dilated veins Indications Tortuous dilated veins Large saphenovarix ? Extensive varicosities ? Failed endovenous procedures Relative contra-indications Previous DVT Arterial insufficiency Patient co morbidity Morbid obesity Indications as it stands for open surgery is patients not suitable for EVT, foam. These are few and far. Pts who have extensive varicosities, tortuao and dilated veins, large sapheno varix and faiiled EVT

Technique Conventional surgery under GA ligation of the sapheno-femoral or sapheno-popliteal junctions vein stripping and multiple stab avulsions The open proc needs GA, main junctions are sf, sp dissected ligated, LSV, ssv stripped and multiple stab avulsionbs

High tie

SPJ ligation

Stripping

Avulsions

Complications common: minor haemorrhage, thrombophlebitis, haematoma, wound problems, severe pain less common sural/ saphenous nerves rare damage to deep veins, arteries, nerves, DVT

Is it a dinosaur?