Transilluminated powered phlebectomy accomplished by local tumescent anaesthesia in the treatment of tributary varicose veins: preliminary clinical results

Abstract

The use of TA resulted in adequate anaesthesia during TIPP. The pain, during and post-treatment, was minimal and acceptable for the patients. TIPP was associated with a high incidence of haematoma and reduction of the number of incisions. Patients were satisfied with the cosmetic result.

Transilluminated Powered Phlebectomy in the Treatment of Varicose Veins

“…Use of TPP with local tumescence anesthesia alone was recently reported, with periprocedure pain noted to be minimal and acceptable in selected patients. 13 As experience grows using local tumescence alone, expansion of TPP more into the outpatient clinic setting may be on the horizon.…”

Treatment of Varicose Veins by Transilluminated Powered Phlebectomy Surgery: A 9-Year Experience

“…3 Of the 10 studies compared in ►Table 1, only one other study did not involve cases in which saphenous vein insufficiency procedures were performed at the same surgical intervention as TIPP. 10 This particular study was a small randomized trial that assessed the use of TIPP under tumescent anesthesia for the treatment of tributary varicose veins and, therefore, excluded patients with reflux of the saphenofemoral junction or greater saphenous vein. 10 The strategy of staging TIPP for secondary varicosities until after saphenous vein incompetence treatment allows time for many varicosities to diminish or resolve, which reduces the number of varicosities requiring resection during TIPP.…”

“…4,5 The use of tumescent anesthesia assists in reducing postoperative pain and patient morbidity, while expediting recovery. 6 Previous clinical studies 3,4,[7][8][9][10][11][12] and a recent meta-analysis 13 support the use of TIPP for the removal of varicose veins, especially when extensive. Perioperative and follow-up outcomes based on one surgeon's 9-year experience performing TIPP in the era of endovenous laser ablation therapy are analyzed.…”

Prospective Study of a Single Treatment Strategy for Local Tumescent Anesthesia in Muller Phlebectomy

“…Social and economic advantages are accomplished because of the lack of sedation, making it possible to perform varicose surgery in external ambulatory surgery centers. 6 Drawback of this method is peroperative and postoperative pain, which is often not optimally controlled with standard local anesthetics.…”