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What is transilluminated powered phlebectomy?

What is transilluminated powered phlebectomy and when is this procedure used? How is it different from ambulatory phlebectomy?


Doctors Answers (5)

Transilluminated treatments involve using a light to illuminate the skin. This light will allow us to visualize the veins below the surface of the skin. We can then inject the veins with a sclerosing agent or remove them with phlebectomy. The light is typically more useful for sclerotherapy than it is for phlebectomy.

Transilluminated powered phlebectomy (Trivex system) is a surgical procedure that requires general or regional anesthesia using tumescent fluid. This is an older and more aggressive approach to removing varicose veins that was preferred by some surgeons and has largely been replaced by newer and less invasive approaches. An ambulatory phlebectomy refers to the fact that the patient is able to ambulate (or walk) immediately after the procedure. A phlebectomy is the removal of larger varicose veins near the surface of the skin usually with small incisions and a vein hook. In our practice, we use a 1mm incision that does not require suturing and typically the incision is not visible at one month after the procedure.

TPPhlebectomy uses a powered resector that is placed beneath the transilluminated vein, and it sucks the vein into a rotating blade that cuts the vein into very small pieces with the help of suction.

The first is a method of removing veins with incisions and instruments inserted in the legs to pull veins out. The second is a better procedure that is performed through needle sticks with better cosmetic and post procedure comfort.

Transluminated powered phlebectomy or Tri-Vex is a way of removing significant varicose veins with the aid of a light probe placed under the veins to be removed and a powered cutting device via another small incision. The veins are identified by the transluminated light. The cutting device sucks the vein into it and removes the vein. This requires special equipment to be done. The procedure has been done mainly in operating rooms and ambulatory surgery centers. There are some vein specialists who are now offering the procedure in their office. The procedure removes significant veins with fewer incisions than a microphlebectomy procedure. The procedure can be done in significant less time than a microphlebectomy.

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