title: Maneuver to facilitate ambulatory phlebectomy.
abstract: BACKGROUND
  In the course of phlebectomy varicose veins often brake under traction. When this happens, a great number of stab incisions are needed and veins must be extracted piecemeal.
  
  
  OBJECTIVE
  To describe a traction maneuver that facilitates vein extraction.
  
  
  METHODS
  Holding the exteriorized vein with the tip of the mosquito forceps pointed toward the skin, and pushing (rather than pulling) the vein out.
  
  
  RESULTS
  This maneuver allows extraction of longer vein segments without breaking the vein.
  
  
  CONCLUSIONS
  Easier removal and longer segments of veins can be extracted using this maneuver, thereby decreasing the number of "micro-incisions" needed.
authors.affiliation: Iowa Vein Center, Des Moines, USA.
authors.forename: J A
authors.initials: JA
authors.lastname: Olivencia
mesh_terms: D000556:Ambulatory Surgical Procedures / Q000295:instrumentation; D006801:Humans; D008866:Microsurgery / Q000295:instrumentation; D014143:Traction / Q000295:instrumentation; D014648:Varicose Veins / Q000601:surgery*; D014680:Veins / Q000601:surgery*