0000000000654501

AUTHOR

S. Bethge

showing 2 related works from this author

Subfascial Endoscopic Perforator Surgery With Tumescent Local Anesthesia

2002

background. Subfascial endoscopic perforator surgery (SEPS) has become an established procedure. objective. To evaluate SEPS with tumescent local anesthesia (TLA) using an single-port device originally designed for that purpose. methods. Patients selected for SEPS received subcutaneous infiltration of TLA into the medial aspect of the calf 20 minutes before surgery. Bipolar coagulation and dissection were used to treat incompetent perforators. results. Fifty-one patients with 67 legs of CEAP stages C3–C6 underwent SEPS with TLA. In 40 patients or 53 legs (79.1%) TLA alone allowed successful completion of the SEPS procedure. Five patients with 7 legs (10.4%) required additional intravenous a…

AdultMalemedicine.medical_specialtyConscious SedationSuccessful completionDermatologyVaricose UlcerPain controlmedicineHumansLocal anesthesiaIn patientAgedEndoscopesLegVascular diseasebusiness.industryEquipment DesignGeneral MedicineMiddle AgedIncompetent perforatorsmedicine.diseaseSurgerybody regionsTreatment OutcomeVenous InsufficiencyAnesthesiaFemaleSurgeryVenous diseasebusinessVascular Surgical ProceduresBipolar coagulationAnesthesia LocalDermatologic Surgery
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Endovenous treatment of the greater saphenous vein with a 940-nm diode laser: thrombotic occlusion after endoluminal thermal damage by laser-generate…

2002

Abstract Purpose: Despite a rapid spread of the technique, very little is known about the laser-tissue interaction in endovenous laser treatment (EVLT). We evaluated EVLT of the incompetent greater saphenous vein (GSV) for efficacy, treatment-related adverse effects, and putative mechanisms of action. Methods: Twenty-six patients with 31 limbs of clinical stages C 2-6 , E P , A S,P , P R with incompetent GSV proven by means of duplex scanning were selected for EVLT in an outpatient setting. A 600-μm fiber was entered into the GSV via an 18-gauge needle below the knee and proceeded to the saphenofemoral junction (SFJ). After infiltration of tumescent local anesthesia, multiple laser pulses o…

MaleVenous Thrombosismedicine.medical_specialtybusiness.industryVascular diseasemedicine.medical_treatmentEndovenous laser treatmentMiddle Agedmedicine.diseaseThrombosisThrombophlebitisSurgeryDuplex scanningVaricose VeinsOcclusionMedicineHumansSurgeryLocal anesthesiaFemaleSaphenous VeinLaser TherapyThrombusCardiology and Cardiovascular MedicinebusinessJournal of vascular surgery
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