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引用次数: 0
摘要
CHIVA(Cure Conservatrice et Hemodynamique de l'Insuffisance Veineuse en Ambulatoire)是一种治疗静脉曲张的手术技术,可避免破坏大隐静脉和瓣膜。对于某些患者来说,CHIVA 技术中的隐静脉瓣膜齐平结扎术可能需要进行更多的剥离。这一点尤其适用于肥胖患者和大腿结扎手术。我们报告了一种创新技术,该技术使用双相引导穿刺,使副肢更靠近皮肤,减少剥离和切口的需要。该技术没有改变 CHIVA 的任何原则。虽然长期效果尚未可知,但我们预计其效果将与正常的 CHIVA 手术相似。
Ultrasound-guided mini-incision technique for CHIVA.
CHIVA (Cure Conservatrice et Hemodynamique de l'Insuffisance Veineuse en Ambulatoire) is a surgical technique for varicose veins that avoids destroying the saphenous vein and collaterals. In some patients, the flush ligation of saphenous collaterals performed in the CHIVA technique may require more dissection than is desirable. This is especially valid for obese patients and thigh ligations. We report an innovative technique that uses duplex-guided puncture to bring the collateral closer to the skin and reduce the need for dissection and incision. The technique does not change any of the CHIVA principles. While the long-term results are not yet known, we expect them to be similar to normal CHIVA procedures.
期刊介绍:
The Jornal Vascular Brasileiro is editated and published quaterly to select and disseminate high-quality scientific contents concerning original research, novel surgical and diagnostic techniques, and clinical observations in the field of vascular surgery, angiology, and endovascular surgery. Its abbreviated title is J. Vasc. Bras., which should be used in bibliographies, footnotes and bibliographical references and strips.