Research progress of postoperative complications of transilluminated powered phlebectomy in treatment of varicose vein_CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Authors：

LI Lihong ^1,2 ,  LI Chunmin ¹

1. Department of Vascular Surgery, Chaoyang Hospital, Capital Medical University，Beijing 100020, P. R. China;
2. Department of Vascular Surgery, Chuiyangliu Hospital, Beijing 100020, P. R. China;

Corresponding author：

LI Chunmin, Email: lcmbs@126.com

Keywords：

varicose vein; transilluminated powered phlebectomy; complications

DOI：

10.7507/1007-9424.201706070

Video：

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Objective To summarize research progress of postoperative complications of transilluminated powered phlebectomy in treatment of varicose veins. Method The clinical and scientific research about the treatment of varicose veins with transilluminated powered phlebectomy in recent years were searched and the progress of the postoperative complications were reviewed. Results With the evolution of surgical techniques and the accumulation of experience, a variety of translucent resection of the postoperative complications such as the cellulitis, wound abscess, hematoma, residual vein, nerve damage reduced. Conclusions From current development trend, incidence of complications after transilluminated powered phlebectomy might continue to decline. It has a potential to become a mainstream surgical technique for varicose veins in future.

Citation： LI Lihong, LI Chunmin. Research progress of postoperative complications of transilluminated powered phlebectomy in treatment of varicose vein. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2018, 25(2): 251-254. doi: 10.7507/1007-9424.201706070 Copy

1.	Obi AT, Reames BN, Rook TJ, et al. Outcomes associated with ablation compared to combined ablation and transilluminated powered phlebectomy in the treatment of venous varicosities. Phlebology, 2016, 31(9): 618-624.
2.	Bertanha M, Sobreira ML, Camargo PAB, et al. Preliminary results of severe venous insufficiency treatment with thermal ablation of the great saphenous vein by endovascular technique with laser diode 980 nm developed in Brazil, associated with sclerotherapy with polidocanol. Rev Col Bras Cir, 2017, 44(3): 308-313.
3.	Jeong YJ, Choo KS, Nam KJ, et al. Image quality and radiation dose of CT venography with double dose reduction using model based iterative reconstruction: comparison with conventional CT venography using filtered back projection. Acta Radiol, 2017, 284185117725780.
4.	Lane TRA, Varatharajan L, Fiorentino F, et al. Truncal varicose vein diameter and patient-reported outcome measures. Br J Surg, 2017 Aug 2. doi: 10.1002/bjs.10598.[Epub ahead of print].
5.	Mallick R, Raju A, Campbell C, et al. Treatment patterns and outcomes in patients with varicose veins. Am Health Drug Benefits, 2016, 9(8): 455-465.
6.	Kemp N. A synopsis of current international guidelines and new modalities for the treatment of varicose veins. Aust Fam Physician, 2017, 46(4): 229-233.
7.	Gavrilov SG. Vulvar varicosities: diagnosis, treatment, and prevention. Int J Womens Health, 2017, 9: 463-475.
8.	Palma JA, Kaufmann H. Epidemiology, diagnosis, and management of neurogenic orthostatic hypotension. Mov Disord Clin Pract, 2017, 4(3): 298-308.
9.	Whiteley MS, Shiangoli I, Dos Santos SJ, et al. Fifteen year results of radiofrequency ablation, using VNUS closure, for the abolition of truncal venous reflux in patients with varicose veins. Eur J Vasc Endovasc Surg, 2017, 54(3): 357-362.
10.	Spinedi L, Broz P, Peter Engelberger R, et al. Clinical and duplex ultrasound evaluation of lower extremities varicose veins—a practical guideline. Vasa, 2017, 46(5): 325-336.
11.	Li X, Fan L, Ren S, et al. Outcomes of foam sclerotherapy plus ligation versus foam sclerotherapy alone for venous ulcers in lower extremities. Ann Vasc Surg, 2017 Jun 23. pii: S0890-5096(17)30772-0.
12.	Shamiyeh A, Schrenk P, Huber E, et al. Transilluminated powered phlebectomy: advantages and disadvantages of a new technique. Dermatol Surg, 2003, 29(6): 616-619.
13.	Kim JW, Han JW, Jung SY, et al. Outcome of transilluminated powered phlebectomy for varicose vein: review of 299 patients (447 limbs). Surg Today, 2013, 43(1): 62-66.
14.	Brumberg RS, Davis C. Ruptured common femoral vein pseudoaneurysm from a common femoral arteriovenous fistula presenting as lower extremity steal after radiofrequency ablation of the great saphenous vein. J Vasc Surg Venous Lymphat Disord, 2017, 5(4): 571-574.
15.	Mun YS, Cho BS, Jang JH, et al. Femoropopliteal bypass with varicose greater saphenous vein. Int J Angiol, 2016, 25(5): e108-e110.
16.	Franz RW, Hartman JF, Wright ML. Treatment of varicose veins by transilluminated powered phlebectomysurgery: a 9-year experience. Int J Angiol, 2012, 21(4): 201-208.
17.	Gibson K, Minjarez R, Ferris B, et al. Clinical presentation of women with pelvic source varicose veins in the perineum as a first step in the development of a disease-specific patient assessment tool. J Vasc Surg Venous Lymphat Disord, 2017, 5(4): 493-499.
18.	Whiteley MS, Smith VC. Exacerbation of alopecia areata: A possible complication of sodium tetradecyl sulphate foam sclerotherapy treatment for varicose veins. SAGE Open Med Case Rep, 2017, 5: 2050313X17712643.
19.	Elias SM, Frasier KL. Minimally invasive vein surgery: its role in the treatment of venous stasis ulceration. Am J Surg, 2004, 188(1A Suppl): 26-30.
20.	Pittaluga P, Chastanet S. Treatment of varicose veins by ASVAL: Results at 10 years. Ann Vasc Surg, 2017, 38: e10.
21.	Ricci S. Letter regarding article titled ‘Transilluminated powered phlebectomy: a clinical report’. Phlebology, 2009, 24(4): 189.
22.	Anwar MA, Adesina-Georgiadis KN, Spagou K, et al. A comprehensive characterisation of the metabolic profile of varicose veins; implications in elaborating plausible cellular pathways for disease pathogenesis. Sci Rep, 2017, 7(1): 2989.
23.	陈开, 刘崇清, 戴毅, 等. 应用微创刨吸术治疗下肢静脉曲张52例报告. 中国普外基础与临床杂志, 2005, 12(5): 515-516.
24.	Scavée V, Lemaire E, Haxhe JP. Transilluminated powered phlebectomy. Mid-term clinical experience. Int Angiol, 2005, 24(1): 75-79.
25.	Ray-Chaudhuri SB, Huq Z, Souter RG, et al. A randomized controlled trial comparing transilluminated powered phlebectomy with hook avulsions: an adjunct to day surgery? J One Day Surg, 2003, 13: 24-27.
26.	Gavrilov SG, Lebedev IS, Son DA, et al. Von Korff questionnaire in assessment of social disadaptation and therapeutic results in women with pelvic varicose veins. Angiol Sosud Khir, 2017, 23(1): 97-102.
27.	Albernaz LF, Albernaz DTS, Zignani FRM, et al. Treatment of foot varicose veins: A study of 119 consecutive patients. Phlebology, 2017: 268355517693100.
28.	Uruski P, Aniukiewicz K, Mikuła-Pietrasik J, et al. Endovenous laser ablation of varicose veins preserves biological properties of vascular endothelium and modulates proinflammatory agent profile more favorably than classic vein stripping. Biomed Res Int, 2017, 2017: 6167480.
29.	Starodubtsev V, Lukyanenko M, Karpenko A, et al. Endovenous laser ablation in patients with severe primary chronic venous insufficiency. Int Angiol, 2017, 36(4): 368-374.
30.	Rabe E, Pannier F. Clinical, aetiological, anatomical and pathological classification (CEAP): gold standard and limits. Phlebology, 2012, 27 Suppl 1: 114-118.
31.	朱远志, 罗军, 刘坤, 等. 透光动力旋切术治疗下肢静脉曲张的疗效分析和手术体会. 中国普外基础与临床杂志, 2010, 17(11): 1171-1174.
32.	Rigby KA, Palfreyman SJ, Beverley C, et al. Surgery for varicose veins: use of tourniquet. Cochrane Database Syst Rev, 2013, 6: CD001486.
33.	Testroote MJ, Wittens CH. Prevention of venous thromboembolism in patients undergoing surgical treatment of varicose veins. Phlebology, 2013, 28(Suppl 1): 86-90.
34.	Franz RW, Knapp ED. Transilluminated powered phlebectomy surgery for varicose veins: a review of 339 consecutive patients. Ann Vasc Surg, 2009, 23(3): 303-309.
35.	Akesson H. Transilluminated powered phlebectomy: a clinical report. Phlebology, 2008, 23(6): 295-298.
36.	Lin PH, Matos JM, Chen A, et al. Treatment outcomes and lessons learned from transilluminated powered phlebectomy for varicose veins in 1 034 patients. Vasc Endovascular Surg, 2016, 50(4): 277-282.
37.	Scavée V. Transilluminated powered phlebectomy: not enough advantages? Review of the literature. Eur J Vasc Endovasc Surg, 2006, 31(3): 316-319.

1. Obi AT, Reames BN, Rook TJ, et al. Outcomes associated with ablation compared to combined ablation and transilluminated powered phlebectomy in the treatment of venous varicosities. Phlebology, 2016, 31(9): 618-624.
2. Bertanha M, Sobreira ML, Camargo PAB, et al. Preliminary results of severe venous insufficiency treatment with thermal ablation of the great saphenous vein by endovascular technique with laser diode 980 nm developed in Brazil, associated with sclerotherapy with polidocanol. Rev Col Bras Cir, 2017, 44(3): 308-313.
3. Jeong YJ, Choo KS, Nam KJ, et al. Image quality and radiation dose of CT venography with double dose reduction using model based iterative reconstruction: comparison with conventional CT venography using filtered back projection. Acta Radiol, 2017, 284185117725780.
4. Lane TRA, Varatharajan L, Fiorentino F, et al. Truncal varicose vein diameter and patient-reported outcome measures. Br J Surg, 2017 Aug 2. doi: 10.1002/bjs.10598.[Epub ahead of print].
5. Mallick R, Raju A, Campbell C, et al. Treatment patterns and outcomes in patients with varicose veins. Am Health Drug Benefits, 2016, 9(8): 455-465.
6. Kemp N. A synopsis of current international guidelines and new modalities for the treatment of varicose veins. Aust Fam Physician, 2017, 46(4): 229-233.
7. Gavrilov SG. Vulvar varicosities: diagnosis, treatment, and prevention. Int J Womens Health, 2017, 9: 463-475.
8. Palma JA, Kaufmann H. Epidemiology, diagnosis, and management of neurogenic orthostatic hypotension. Mov Disord Clin Pract, 2017, 4(3): 298-308.
9. Whiteley MS, Shiangoli I, Dos Santos SJ, et al. Fifteen year results of radiofrequency ablation, using VNUS closure, for the abolition of truncal venous reflux in patients with varicose veins. Eur J Vasc Endovasc Surg, 2017, 54(3): 357-362.
10. Spinedi L, Broz P, Peter Engelberger R, et al. Clinical and duplex ultrasound evaluation of lower extremities varicose veins—a practical guideline. Vasa, 2017, 46(5): 325-336.
11. Li X, Fan L, Ren S, et al. Outcomes of foam sclerotherapy plus ligation versus foam sclerotherapy alone for venous ulcers in lower extremities. Ann Vasc Surg, 2017 Jun 23. pii: S0890-5096(17)30772-0.
12. Shamiyeh A, Schrenk P, Huber E, et al. Transilluminated powered phlebectomy: advantages and disadvantages of a new technique. Dermatol Surg, 2003, 29(6): 616-619.
13. Kim JW, Han JW, Jung SY, et al. Outcome of transilluminated powered phlebectomy for varicose vein: review of 299 patients (447 limbs). Surg Today, 2013, 43(1): 62-66.
14. Brumberg RS, Davis C. Ruptured common femoral vein pseudoaneurysm from a common femoral arteriovenous fistula presenting as lower extremity steal after radiofrequency ablation of the great saphenous vein. J Vasc Surg Venous Lymphat Disord, 2017, 5(4): 571-574.
15. Mun YS, Cho BS, Jang JH, et al. Femoropopliteal bypass with varicose greater saphenous vein. Int J Angiol, 2016, 25(5): e108-e110.
16. Franz RW, Hartman JF, Wright ML. Treatment of varicose veins by transilluminated powered phlebectomysurgery: a 9-year experience. Int J Angiol, 2012, 21(4): 201-208.
17. Gibson K, Minjarez R, Ferris B, et al. Clinical presentation of women with pelvic source varicose veins in the perineum as a first step in the development of a disease-specific patient assessment tool. J Vasc Surg Venous Lymphat Disord, 2017, 5(4): 493-499.
18. Whiteley MS, Smith VC. Exacerbation of alopecia areata: A possible complication of sodium tetradecyl sulphate foam sclerotherapy treatment for varicose veins. SAGE Open Med Case Rep, 2017, 5: 2050313X17712643.
19. Elias SM, Frasier KL. Minimally invasive vein surgery: its role in the treatment of venous stasis ulceration. Am J Surg, 2004, 188(1A Suppl): 26-30.
20. Pittaluga P, Chastanet S. Treatment of varicose veins by ASVAL: Results at 10 years. Ann Vasc Surg, 2017, 38: e10.
21. Ricci S. Letter regarding article titled ‘Transilluminated powered phlebectomy: a clinical report’. Phlebology, 2009, 24(4): 189.
22. Anwar MA, Adesina-Georgiadis KN, Spagou K, et al. A comprehensive characterisation of the metabolic profile of varicose veins; implications in elaborating plausible cellular pathways for disease pathogenesis. Sci Rep, 2017, 7(1): 2989.
23. 陈开, 刘崇清, 戴毅, 等. 应用微创刨吸术治疗下肢静脉曲张52例报告. 中国普外基础与临床杂志, 2005, 12(5): 515-516.
24. Scavée V, Lemaire E, Haxhe JP. Transilluminated powered phlebectomy. Mid-term clinical experience. Int Angiol, 2005, 24(1): 75-79.
25. Ray-Chaudhuri SB, Huq Z, Souter RG, et al. A randomized controlled trial comparing transilluminated powered phlebectomy with hook avulsions: an adjunct to day surgery? J One Day Surg, 2003, 13: 24-27.
26. Gavrilov SG, Lebedev IS, Son DA, et al. Von Korff questionnaire in assessment of social disadaptation and therapeutic results in women with pelvic varicose veins. Angiol Sosud Khir, 2017, 23(1): 97-102.
27. Albernaz LF, Albernaz DTS, Zignani FRM, et al. Treatment of foot varicose veins: A study of 119 consecutive patients. Phlebology, 2017: 268355517693100.
28. Uruski P, Aniukiewicz K, Mikuła-Pietrasik J, et al. Endovenous laser ablation of varicose veins preserves biological properties of vascular endothelium and modulates proinflammatory agent profile more favorably than classic vein stripping. Biomed Res Int, 2017, 2017: 6167480.
29. Starodubtsev V, Lukyanenko M, Karpenko A, et al. Endovenous laser ablation in patients with severe primary chronic venous insufficiency. Int Angiol, 2017, 36(4): 368-374.
30. Rabe E, Pannier F. Clinical, aetiological, anatomical and pathological classification (CEAP): gold standard and limits. Phlebology, 2012, 27 Suppl 1: 114-118.
31. 朱远志, 罗军, 刘坤, 等. 透光动力旋切术治疗下肢静脉曲张的疗效分析和手术体会. 中国普外基础与临床杂志, 2010, 17(11): 1171-1174.
32. Rigby KA, Palfreyman SJ, Beverley C, et al. Surgery for varicose veins: use of tourniquet. Cochrane Database Syst Rev, 2013, 6: CD001486.
33. Testroote MJ, Wittens CH. Prevention of venous thromboembolism in patients undergoing surgical treatment of varicose veins. Phlebology, 2013, 28(Suppl 1): 86-90.
34. Franz RW, Knapp ED. Transilluminated powered phlebectomy surgery for varicose veins: a review of 339 consecutive patients. Ann Vasc Surg, 2009, 23(3): 303-309.
35. Akesson H. Transilluminated powered phlebectomy: a clinical report. Phlebology, 2008, 23(6): 295-298.
36. Lin PH, Matos JM, Chen A, et al. Treatment outcomes and lessons learned from transilluminated powered phlebectomy for varicose veins in 1 034 patients. Vasc Endovascular Surg, 2016, 50(4): 277-282.
37. Scavée V. Transilluminated powered phlebectomy: not enough advantages? Review of the literature. Eur J Vasc Endovasc Surg, 2006, 31(3): 316-319.

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