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Órgano Oficial de la Sociedad Mexicana de Angiología y Cirugía Vascular

2011, Number 2

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Rev Mex Angiol 2011; 39 (2)

Técnica propia: láser endoluminal y cirugía mínimamente invasiva para el tratamiento de la safena interna insuficiente causada por perforante de tipo Hunter incompetente

Carmelino C, Flores JA, Boggiano R

Language: Spanish
References: 14
Page: 55-59
PDF size: 287.75 Kb.


ABSTRACT

Introduction: Perforating veins have been cause of concern for many years for the physician specialized in venous surgery, both for its diverse anatomic distribution as well as its role in the pathogenesis of venous insufficiency and their influence on venous disease recurrence.
Objective: To propose a unique technique that combines minimally invasive endoluminal laser surgery under ultrasound guidance.
Material and method: The treatment of perforating vein of Hunter is a challenge for its implication in the safenous reflux from the thigh. Given the difficulty of surgical approach, the treatment has been attempted through the section and ligation; and chemical sclerosis. Has also attempted ultrasoundtreatment by endovenous laser and radiofrequency, with complicated approach and bad results, mostly in some cases where the perforating vein diameter is › 4 mm results are poor and recurrence is high.
Conclusions: This method optimizes the approach for surgical treatment while decreases the recurrence of venous insufficiency caused by an insufficient Hunter perforating vein.


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