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May 24-25, 2018
London, UK
Vascular Surgery 2018
3
rd
Edition of World Congress & Exhibition on
Vascular Surgery
Journal of Vascular and Endovascular Therapy
ISSN: 2573-4482
Aim:
The recurrence rate of management of varicose veins was
high and ranged 20–60% in previous reports. In this study, primary
varicose veins were managed through endoscopic assisted
surgery. The recurrence rate and satisfaction rate were evaluated.
Materials & Methods:
From 1997 to 2017, 1966 limbs of
primary varicose veins and its complications were managed
through endoscopic assisted surgery. With good illumination
and magnified view offered by the endoscopy, tissues in the
operative field were visualized clearly. The varicose main trunk
and its tributaries, incompetent perforating veins, non-varicose
veins and saphenous nerve could be identified by their anatomic
appearance. The features of varicose veins explored include:
1) poor contractility of varicose veins; 2) dilated, tortous and
flaccid changes of varicose veins and 3) saccular or lateral
buldging deformities of vein wall. The anatomic abnormalities
were supernumerary tributaries along the main trunk, varicose
clusters formed by main trunk, tributaries and/or incompetent
perforating vein; variable size and location of incompetent
perforating veins. The complicated abnormality of these varicose
veins could be carefully dissected and radically excised. The
operation procedures will be demonstrated in a video. Because all
the abnormal varicose veins and incompetent perforating veins
radically excised, and the recurrence rate marked is decreased.
Results:
The recurrence rate ranged from 0 to 2.3% in our serial
reports. The satisfaction rate of 689 patients (2004-2013) was
96.5%.
Conclusion:
In management of primary varicose vein, endoscopic
assisted surgery could achieve a low recurrence rate and high
satisfaction rate.
Recent Publications
1. Lin Y N, Hsieh T Y, Huang S H, Liu C M, Chang K P and
Lin S D (2017) Management of venous ulcers according
to their anatomical relationship with varicose veins.
Phlebology 33(1):44-52.
2. Kuo C J, Liang S S, Hsi E, Chiou S H and Lin S D (2013)
Quantitative proteomics analysis of varicose veins:
identification of a set of differentially expressed proteins
related to ATP generation and utilization. Kaohsiung J
Med Sci 29(11):594-605.
3. Lin Y N, Lin S D, Huang S H, Lee S H, Lai C S and Chang
K P (2012). Endoscopic assisted surgical management
of superficial thrombophlebitis in patients with primary
varicose veins. J Taiwan Soc of Plast Surg 21(2):90-8.
4. Chang M Y, Chiang P T, Chung Y C, Ho S Y, Lin S D, Lin S
R and Neoh C A (2009) Apoptosis and angiogenesis in
varicose veins using gene expression profiling. Fooyin J
Health Sci 1(2):85-91.
5. Wang Chen H, Lin S D, Lee S S, Chang K P, Sun I F, Wang
WH and Lai C S (2008) Management of primary varicose
veins with the assistance of endoscopic surgery: it’s role
in the treatment of venous ulceration. J Plast Surg Assoc
ROC 17(2):127-37.
Biography
Sin Daw Lin performs endoscopic face lifting for facial rejuvenation and ex-
pands the endoscopic surgery to manage the benign tumor of the head and
neck. He also manages the varicose veins with the assistance of endoscopic
surgery to decrease the recurrence rate. He performed immediate breast re-
Good results of management of varicose veins through
endoscopic assisted surgery
Sin Daw Lin
1, 2
1
Kaohsiung Medical University Hospital, Taiwan
2
Kaohsiung Municipal Siaogang Hospital, Taiwan
Sin Daw Lin, J Vasc Endovasc Therapy 2018, Volume 3
DOI: 10.21767/2573-4482-C1-002
Figure 1:
Satisfaction rate of 609 patients