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Abstract

Objective: By incorporating an endovascular component into Great Saphenous Vein stripping, EndoVenous-assisted Invaginated Stripping (EVIS) aims to make the procedure minimally invasive. A study was conducted to investigate the surgical intervention. Methods: Sketches and videos were used to illustrate the technical aspects of EVIS. A prospective cohort study included 20 patients with chronic venous insufficiency (CVI). Results: EVIS is performed as a day-surgery. Technical success was 100%, and no complications were recorded. The mean operative time was 45 minutes, intraoperative pain score was 4.8, post-operative pain was 2.5, 1.8, 1.2, 0.5 at 48 hours, 1, 4, and 12 weeks, respectively. The mean blood loss was 15 mL, and the mean length of the GSV strapped was 19 cm. The follow-up duplex showed a reduction in the diameter of the residual GSV stump. Conclusions: EVIS is a combination of standard techniques that may prove valuable in managing CVI.

Keywords

Chronic venous insufficiency thermal ablation stripping great saphenous vein endovascular

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References

Wittens

Davies

Bækgaard

, et al. Editor’s choice - management of chronic venous disease: clinical practice guidelines of the European society for vascular surgery (ESVS). Eur J Vasc Endovasc Surg 2015; 49(6): 678–737.

Eggen

CAM

Alozai

Pronk

, et al. Ten-year follow-up of a randomized controlled trial comparing saphenofemoral ligation and stripping of the great saphenous vein with endovenous laser ablation (980 nm) using local tumescent anesthesia. J Vasc Surg Venous Lymphat Disord 2022; 10(3): 646–653.

Rass

Frings

Glowacki

, et al. Same site recurrence is more frequent after endovenous laser ablation compared with high ligation and stripping of the great saphenous vein: 5 year results of a randomized clinical trial (RELACS Study). Eur J Vasc Endovasc Surg 2015; 50: 648e56.

Pan

Zhao

Mei

, et al. Comparison of endovenous laser ablation and high ligation and stripping for varicose vein treatment: a meta-analysis. Phlebology 2014; 29: 109e19.

Carradice

Mekako

Mazari

, et al. Randomized clinical trial of endovenous laser ablation compared with conventional surgery for great saphenous varicose veins. Br J Surg 2011; 98: 501–510. DOI: 10.1002/bjs.7394.

Scheltinga

Wijburg

Keulers

, et al. Conventional versus invaginated stripping of the great saphenous vein: a randomized, double-blind, controlled clinical trial. World J Surg 2007; 31(11): 2236–2242.

Casoni

Lefebvre-Vilardebo

Villa

, et al. Great saphenous vein surgery without high ligation of the saphenofemoral junction. J Vasc Surg 2013; 58(1): 173–178.

Sugiyama

Uchida

Miyade

, et al. The influence of residual below-knee reflux and incompetent perforating veins on venous function after stripping surgery. Ann Vasc Dis 2013; 6(2): 159–163.

Sussman

Ryon

Bahga

, et al. A systematic review of the treatment of residual below the knee venous reflux after endovenous thermal ablation of the great saphenous vein. J Vasc Surg Venous Lymphat Disord 2022; 10(1): 233–240.

10.

Guarinello

Coral

Timi

JRR

, et al. Assessment of residual stumps 12 months after saphenectomy without high ligation of the saphenofemoral junction. J Vasc Bras 2021; 20: e20210029.

11.

O’Donnell

Balk

Dermody

, et al. Recurrence of varicose veins after endovenous ablation of the great saphenous vein in randomized trials. J Vasc Surg Venous Lymphat Disord 2016; 4: 97e105.

12.

Mariani

Mancini

Bucalossi

, et al. Selective high ligation of the sapheno-femoral junction decreases the neovascularization and the recurrent varicose veins in the operated groin. Int Angiol 2015; 34(3): 250–256.

13.

Shutze

Kane

Fisher

, et al. The effect of wavelength on endothermal heat-induced thrombosis incidence after endovenous laser ablation. J Vasc Surg Venous Lymphat Disord 2016; 4: 36e43.

14.

Santin

Lohr

Panke

, et al. Venous duplex and pathologic differences in thrombus characteristics between de novo deep vein thrombi and endovenous heat-induced thrombi. J Vasc Surg Venous Lymphat Disord 2015; 3: 184e9.

15.

Healy

Kimura

Power

, et al. A systematic review and meta-analysis of thrombotic events following endovenous thermal ablation of the great saphenous vein. Eur J Vasc Endovasc Surg 2018; 56: 410e24.

16.

Gauw

Lawson

van Vlijmen-van Keulen

, et al. Five-year follow-up of a randomized, controlled trial comparing saphenofemoral ligation and stripping of the great saphenous vein with endovenous laser ablation (980 nm) using local tumescent anesthesia. J Vasc Surg 2016; 63: 420e.

17.

Perrin

. Chirurgie à ciel ouvert de l’insuffisance veineuse superficielle. Principes. Techniques. Résultats. EMC. In: Techniques chirurgicales – chirurgie vasculaire. Paris: Elsevier Masson SAS, 2007, vol 43-161-B.

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EndoVenous-assisted invaginated stripping of the great saphenous vein: A pilot and feasibility study

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