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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
Aims:
Venous ulcers of primary varicose veins were managed
through endoscopic assisted surgery.
Materials and Method:
Between January 2004 and December
2016, 1241 legs with primary varicose veins were operated on
through endoscopic-assisted surgery. Patients of secondary
varicose veins were excluded. Of the 78 patients who had C6 ulcer
were included in this study, 23 (29.5%) were male and 55 (70.5%)
were female. 44 patients (56.4%) had venous ulcer on the left leg,
34 patients (43.6%) on the right leg, and 5 (6.4%) on both legs. The
mean patient age was 59 years (range 30-84 years).
The clear illumination and magnified monitor view offered
by an endoscope enable the identification of the varicose
and non-varicose veins. The operation procedures will
be demonstrated in a video.
(https://drive.google.com/open?id=0B9GW1JJYL1niVi1BNE1xZGxaek0)
Before the operation, the causative vein of the ulcer was detected
and marked after the patient standing for 10-15 mins. The
engorged vein proximal to the ulcer lesion is highly suspected as
the causative vein.
The causative varicose veins could be identified definitely and
dissected precisely from its proximal end and was along the
whole vein down to the periphery and/or the base of the ulcer.
Frequently, the associated incompetent perforating vein was
dissected and divided. The causative veins were totally excised.
Results:
The varicose veins were traced to the base or periphery
of the 66 ulcers. 88.5% of the ulcers healed within 14 weeks. Two
recurrent ulcers occurred due to residual varicose veins. Kaplan-
Meier analysis revealed a five-year recurrence rate of 0.0%.
Conclusion:
In management of venous ulcer of primary varicose
vein, endoscopic assisted surgery is a good alternative to achieve
a low recurrence rate and high satisfaction rate.
Recent Publications
1. Lin YN, Huang SH, Lin TY, Chou CK, Huang YH, Takahashi
H, Lai CS, Lin SD, Lin TM. Micro-autologous fat
transplantation for rejuvenation of the dorsal surface of
the ageing hand. J Plast Reconstr Aesthet Surg. 2017 In
Press.
2. Lin YN, Hsieh TY, Huang SH, Liu CM, Chang KP, Lin
SD*. Management of venous ulcers according to their
anatomical relationship with varicose veins. Phlebology.
2017 Jan 1 [Epub ahead of print].
3. Kao WP, Lin YN, Lin TY, Huang YH, Chou CK, Takahashi
H, Shieh TY, Chang KP, Lee SS, Lai CS, Lin SD, Lin TM*.
Microautologous Fat Transplantation for Primary
Augmentation Rhinoplasty: Long-Term Monitoring of
198 Asian Patients. Aesthet Surg J. 2016 Jun;36(6):648-
56.
4. Lin SD*, Huang SH, Lin YN, Wu SH, Chang HW, Lin
TM, Chai CY, Hsieh DJ, Chang KP. Injected Implant of
Uncultured Stromal Vascular Fraction Loaded Onto a
Collagen Gel: In Vivo Study of Adipogenesis and Long-
term Outcomes. Ann Plast Surg. 2016 Mar;76 Suppl
1:S108-16.
5. Lai YW, Lee SS, Chang KP, Huang SH, Lin YN, Lin SD,
Lai CS*. Blood supply classification and varied clinical
Management of Venous Ulcers of Primary Varicose
Veins Through Endoscopic Assisted Surgery
Yun-Nan Lin
1,2
1
Kaohsiung Medical University Hospital, Taiwan
2
Kaohsiung Municipal Siaogang Hospital, Taiwan
Yun-Nan Lin, J Vasc Endovasc Therapy 2018, Volume 3
DOI: 10.21767/2573-4482-C1-002
Figure 1:
Satisfaction rate, 75 patients.