The Mount Sinai Journal of Medicine

 

Volume 71 Number 1
January 2004
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Minimally Invasive Vein Surgery 42-46

Steven M. Elias, M.D.1,2 , and Krista L. Frasier3

1Director, Center for Vein Disease, Division of Vascular Surgery and 3RVT Manager, Vascular Laboratory, Englewood Hospital and Medical Center, Englewood, NJ, and 2Assistant Clinical Professor of Surgery, Mount Sinai School of Medicine, New York, NY.

Address all correspondence to Steven M. Elias, M.D., F.A.C.S., Department of Surgery, Box 1263, Mount Sinai School of Medicine, One East 100th Street, New York, NY 10029-6574.

Dr. Elias has disclosed that he serves as consultant to Smith and Nephew, Inc., Andover, MA and US Surgical, Norwalk, CT and is preceptor to VNUS Medical, San Jose, CA and Diomed, Inc., Andover, MA.

ABSTRACT

Advances in minimally invasive vein surgery (MIVS) techniques made during the last decade have decreased operative morbidity, the number and size of incisions, operative time and recovery time. The following MIVS techniques will be discussed:

  1. Transilluminated Powered Phlebectomy (TIPP) TriVex ™
  2. Radiofrequency Ablation Greater Saphenous Vein (RFGSV) Closure ®
  3. Laser Ablation Greater Saphenous Vein (EVLT)
  4. Subfascial Endoscopic Perforator Surgery (SEPS)
  5. Percutaneous Vein Valve Bioprosthesis (PVVB)

The techniques used in MIVS allow surgeons to manage venous pathophysiology associated with all three venous systems of the lower extremities. The results are comparable to those obtained with open procedures.

KEYWORDS

Vein surgery, minimally invasive surgery.


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