Document Detail

Placement of intravenous cannulae prior to ambulatory phlebectomy.
MedLine Citation:
PMID:  10691947     Owner:  NLM     Status:  MEDLINE    
BACKGROUND: Ambulatory phlebectomy (AP) is a popular outpatient procedure for the removal of varicose veins. One of the major obstacles of AP is the disappearance and shift of the veins to be removed when the patient is positioned horizontally. OBJECTIVE: We aimed to verify the usefulness of preoperative placement of intravenous cannulae. METHODS: Forty-three vein segments of four consecutive patients with varicose veins were treated by AP with preoperative placement of intravenous cannulae. The procedures including anesthesia, incision, and exteriorization of the veins were performed with intravenous cannula in situ. We compared the courses of cannula and preoperative conventional marking of the veins. The time spent with extracting a vein was also compared with that spent with conventional procedure. RESULTS: The preoperative cannulation provides excellent fixation of varicose veins to their original position, at least at the puncture sites. The disagreement of courses between cannula and preoperative conventional marking was noticed in 47.8% of the vein segments from the knees and thighs, and in 15% from the lower legs. The time spent for extracting a vein was reduced by more than half with our method. CONCLUSION: Intravenous cannulation prior to AP is a simple procedure, but significantly improves the technique of AP by more accurately guiding the site of anesthesia and incision.
Y G Kim; J K Oh; A Y Lee
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Publication Detail:
Type:  Comparative Study; Journal Article    
Journal Detail:
Title:  Dermatologic surgery : official publication for American Society for Dermatologic Surgery [et al.]     Volume:  26     ISSN:  1076-0512     ISO Abbreviation:  Dermatol Surg     Publication Date:  2000 Feb 
Date Detail:
Created Date:  2000-08-18     Completed Date:  2000-08-18     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  9504371     Medline TA:  Dermatol Surg     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  155-7     Citation Subset:  IM    
Department of Dermatology, Eulji Hospital, Eulji Medical College, Seoul, Korea.
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MeSH Terms
Ambulatory Surgical Procedures / methods*
Catheterization, Peripheral / instrumentation,  methods*
Preoperative Care / methods*
Varicose Veins / surgery*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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