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The first experience with minimally invasive phlebectomy using the TriVex system.
Summary
Endoscopic transillumination phlebectomy (ETP) offers a minimally invasive approach for varicose vein treatment, reducing operation time and improving cosmetic outcomes compared to traditional methods.
Area of Science:
- Vascular Surgery
- Minimally Invasive Procedures
- Phlebology
Background:
- Varicose veins of the lower extremities represent a common vascular condition.
- Traditional combined phlebectomy (TCP) involves multiple incisions and can lead to significant postoperative discomfort.
- Endoscopic transillumination phlebectomy (ETP) is a novel technique introduced in Russia for varicose vein treatment.
Purpose of the Study:
- To evaluate the clinical effectiveness and advantages of ETP.
- To compare ETP with traditional combined phlebectomy (TCP).
- To assess outcomes including operation time, pain, and cosmetic results.
Main Methods:
- A comparative study involving 94 patients with lower extremity varicosis.
- The main group (47 patients) underwent ETP, utilizing hydraulic dissection and transillumination.
- The control group (47 patients) underwent TCP.
- Preoperative Doppler ultrasound and duplex scanning were performed.
Main Results:
- ETP significantly decreased operation time and the number of incisions/punctures.
- A substantial reduction in postoperative pain syndrome was observed with ETP.
- ETP yielded excellent cosmetic results due to minimal puncture sites.
Conclusions:
- ETP is a highly effective, minimally invasive method for treating lower extremity varicose veins.
- The technique offers advantages over TCP, including reduced invasiveness and improved patient outcomes.
- ETP minimizes labor intensity and allows for radical intervention with excellent cosmetic results, suitable for day-case surgery.