Sin-Daw Lin
Kaohsiung Municipal Siaogang Hospital, Taiwan
Biography
Abstract
Aim: The recurrence rate of management of varicose veins was high and ranged 20–60% in previous reports. In this study, primary varicose veins were managed through endoscopic assisted surgery. The recurrence rate and satisfaction rate were evaluated. Materials & Methods: From 1997 to 2017, 1966 limbs of primary varicose veins and its complications were managed through endoscopic assisted surgery. With good illumination and magnified view offered by the endoscopy, tissues in the operative field were visualized clearly. The varicose main trunk and its tributaries, incompetent perforating veins, non-varicose veins and saphenous nerve could be identified by their anatomic appearance. The features of varicose veins explored include: 1) poor contractility of varicose veins; 2) dilated, tortous and flaccid changes of varicose veins and 3) saccular or lateral buldging deformities of vein wall. The anatomic abnormalities were supernumerary tributaries along the main trunk, varicose clusters formed by main trunk, tributaries and/or incompetent perforating vein; variable size and location of incompetent perforating veins. The complicated abnormality of these varicose veins could be carefully dissected and radically excised. The operation procedures will be demonstrated in a video. Because all the abnormal varicose veins and incompetent perforating veins radically excised, and the recurrence rate marked is decreased. Results: The recurrence rate ranged from 0 to 2.3% in our serial reports. The satisfaction rate of 689 patients (2004-2013) was 96.5%. Conclusion: In management of primary varicose vein, endoscopic assisted surgery could achieve a low recurrence rate and high satisfaction rate.