Maneuver to facilitate ambulatory phlebectomy.
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.
Olivencia
J A
JA
Iowa Vein Center, Des Moines, USA.
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*