title: Invagination stripping with ultrasound-guided perivenous tumescence: an original method of great saphenous vein stripping.
abstract: BACKGROUND
  Although minimally invasive treatment of the great saphenous vein (GSV) is now preferred over stripping, in some cases, stripping is still necessary. However, stripping, as an invasive method of treatment, promotes significant bleeding and trauma to the saphenous vein track.
  
  
  OBJECTIVE
  To describe an original method of GSV stripping, reducing bleeding during procedure.
  
  
  METHODS
  Seventeen patients underwent stripping of 29 GSVs using tumescent infusion in the saphenous compartment guided by ultrasound, similar to the tumescent anesthesia used in laser ablation during treatment of saphenous vein insufficiency.
  
  
  RESULTS
  Less bleeding and shorter recovery time was observed than in conventional GSV stripping.
  
  
  CONCLUSIONS
  GSV stripping using tumescent ultrasound-guided technique promotes less bleeding than conventional stripping and should be always performed when GSV stripping is considered. The authors have indicated no significant interest with commercial supporters.
authors.affiliation: Department of Vascular Surgery, College of Medical Sciences of Santa Casa of São Paulo, São Paulo, Brazil. raneser@uol.com.br
authors.forename: Rogério Abdo
authors.initials: RA
authors.lastname: Neser
authors.forename: Roberto Augusto
authors.initials: RA
authors.lastname: Caffaro
mesh_terms: D000328:Adult; D000368:Aged; D016063:Blood Loss, Surgical / Q000517:prevention & control; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D010149:Postoperative Pain / Q000517:prevention & control; D012501:Saphenous Vein / Q000000981:diagnostic imaging / Q000601:surgery*; D013997:Time Factors; D016896:Treatment Outcome; D018084:Ultrasonography, Interventional / Q000379:methods*; D014656:Vascular Surgical Procedures / Q000379:methods*; D055815:Young Adult