title: Utility of the Ginza forceps for superficial phlebectomy during endovenous laser ablation of the great saphenous vein.
abstract: OBJECTIVE
  To evaluate the efficiency of using the Ginza forceps (DVx, Tokyo, Japan), which have a long shaft and strong grip, for superficial phlebectomy with the stab avulsion technique, during simultaneous endovenous laser ablation (EVLA) of the great saphenous vein (GSV).
  
  
  METHODS
  The subjects were patients treated with EVLA performed by a single operator at one institution. All patients had a GSV diameter of 4-10 mm and an EVLA length of the GSV of >20 cm. We compared 59 limbs treated only with the Varady hook (Group A) with 46 limbs treated with the Ginza forceps (Group G).
  
  
  RESULTS
  The mean operative times for Groups A and G were 55.4 ± 17.1 vs. 48.5 ± 13.5 min, respectively (P = 0.002), and the number of stab incisions was 5.9 ± 2.9 (1-13) vs. 3.5 ± 2.3 (1-11), respectively (P < 0.001). The rates of nerve injury and thrombophlebitis were 1.7 vs. 0 and 3.4 vs. 0%, respectively.
  
  
  CONCLUSIONS
  Performing superficial phlebectomy with the Ginza forceps reduced the operation time and the number of stab wounds. These initial results suggest that using the Ginza forceps for the procedure is safe and efficient.
authors.affiliation: Division of Vascular Surgery, Department of Surgery, Jikei University School of Medicine, 3-25-8 Nishi-shinbashi, Minato-ku, Tokyo, 105-8461, Japan. takeshi-baba@live.jp.|7th Avenue Clinic, 7-8-10 Ginza, Chuo-ku, Tokyo, 104-0061, Japan. takeshi-baba@live.jp.
authors.forename: Takeshi
authors.initials: T
authors.lastname: Baba
authors.affiliation: Division of Vascular Surgery, Department of Surgery, Jikei University School of Medicine, 3-25-8 Nishi-shinbashi, Minato-ku, Tokyo, 105-8461, Japan.|7th Avenue Clinic, 7-8-10 Ginza, Chuo-ku, Tokyo, 104-0061, Japan.
authors.forename: Takao
authors.initials: T
authors.lastname: Ohki
authors.affiliation: Division of Vascular Surgery, Department of Surgery, Jikei University School of Medicine, 3-25-8 Nishi-shinbashi, Minato-ku, Tokyo, 105-8461, Japan.|7th Avenue Clinic, 7-8-10 Ginza, Chuo-ku, Tokyo, 104-0061, Japan.
authors.forename: Yuji
authors.initials: Y
authors.lastname: Kanaoka
authors.affiliation: Division of Vascular Surgery, Department of Surgery, Jikei University School of Medicine, 3-25-8 Nishi-shinbashi, Minato-ku, Tokyo, 105-8461, Japan.
authors.forename: Koji
authors.initials: K
authors.lastname: Maeda
authors.affiliation: Division of Vascular Surgery, Department of Surgery, Jikei University School of Medicine, 3-25-8 Nishi-shinbashi, Minato-ku, Tokyo, 105-8461, Japan.|7th Avenue Clinic, 7-8-10 Ginza, Chuo-ku, Tokyo, 104-0061, Japan.
authors.forename: Kenjirou
authors.initials: K
authors.lastname: Kaneko
authors.affiliation: Division of Vascular Surgery, Department of Surgery, Jikei University School of Medicine, 3-25-8 Nishi-shinbashi, Minato-ku, Tokyo, 105-8461, Japan.|7th Avenue Clinic, 7-8-10 Ginza, Chuo-ku, Tokyo, 104-0061, Japan.
authors.forename: Masayuki
authors.initials: M
authors.lastname: Hara
authors.affiliation: Division of Vascular Surgery, Department of Surgery, Jikei University School of Medicine, 3-25-8 Nishi-shinbashi, Minato-ku, Tokyo, 105-8461, Japan.|7th Avenue Clinic, 7-8-10 Ginza, Chuo-ku, Tokyo, 104-0061, Japan.
authors.forename: Kota
authors.initials: K
authors.lastname: Shukuzawa
authors.affiliation: Division of Vascular Surgery, Department of Surgery, Jikei University School of Medicine, 3-25-8 Nishi-shinbashi, Minato-ku, Tokyo, 105-8461, Japan.|7th Avenue Clinic, 7-8-10 Ginza, Chuo-ku, Tokyo, 104-0061, Japan.
authors.forename: Soichiro
authors.initials: S
authors.lastname: Fukushima
mesh_terms: D000368:Aged; D057510:Endovascular Procedures / Q000295:instrumentation* / Q000379:methods*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D053685:Laser Therapy / Q000295:instrumentation* / Q000379:methods*; D008297:Male; D008875:Middle Aged; D061646:Operative Time; D018962:Phlebotomy / Q000295:instrumentation* / Q000379:methods*; D011182:Postoperative Care; D012501:Saphenous Vein / Q000601:surgery*; D053828:Stockings, Compression; D013525:Surgical Instruments; D016896:Treatment Outcome
keywords: Endovenous laser ablation; Ginza forceps; Phlebectomy; Varicose vein