Journal of Vascular and Endovascular Therapy

Management of Venous Ulcers of Primary Varicose Veins Through Endoscopic Assisted Surgery

3^rd Edition of World Congress & Exhibition on Vascular Surgery
May 24-25, 2018 London, UK

Yun-Nan Lin

Kaohsiung Medical University Hospital, Taiwan Kaohsiung Municipal Siaogang Hospital, Taiwan

ScientificTracks Abstracts: J Vasc Endovasc Therapy

DOI: 10.21767/2573-4482-C1-002

Abstract

Aims:Venous ulcers of primary varicose veins were managed through endoscopic assisted surgery. Materials and Method: Between January 2004 and December 2016, 1241 legs with primary varicose veins were operated on through endoscopic-assisted surgery. Patients of secondary varicose veins were excluded. Of the 78 patients who had C6 ulcer were included in this study, 23 (29.5%) were male and 55 (70.5%) were female. 44 patients (56.4%) had venous ulcer on the left leg, 34 patients (43.6%) on the right leg, and 5 (6.4%) on both legs. The mean patient age was 59 years (range 30-84 years). The clear illumination and magnified monitor view offered by an endoscope enable the identification of the varicose and non-varicose veins. The operation procedures will be demonstrated in a video. (https://drive.google.com/ open?id=0B9GW1JJYL1niVi1BNE1xZGxaek0) Before the operation, the causative vein of the ulcer was detected and marked after the patient standing for 10-15 mins. The engorged vein proximal to the ulcer lesion is highly suspected as the causative vein. The causative varicose veins could be identified definitely and dissected precisely from its proximal end and was along the whole vein down to the periphery and/or the base of the ulcer. Frequently, the associated incompetent perforating vein was dissected and divided. The causative veins were totally excised. Results: The varicose veins were traced to the base or periphery of the 66 ulcers. 88.5% of the ulcers healed within 14 weeks. Two recurrent ulcers occurred due to residual varicose veins. KaplanMeier analysis revealed a five-year recurrence rate of 0.0%. Conclusion: In management of venous ulcer of primary varicose vein, endoscopic assisted surgery is a good alternative to achieve a low recurrence rate and high satisfaction rate.
Recent Publications 1. Lin YN, Huang SH, Lin TY, Chou CK, Huang YH, Takahashi H, Lai CS, Lin SD, Lin TM. Micro-autologous fat transplantation for rejuvenation of the dorsal surface of the ageing hand. J Plast Reconstr Aesthet Surg. 2017 In Press. 2. Lin YN, Hsieh TY, Huang SH, Liu CM, Chang KP, Lin SD*. Management of venous ulcers according to their anatomical relationship with varicose veins. Phlebology. 2017 Jan 1 [Epub ahead of print]. 3. Kao WP, Lin YN, Lin TY, Huang YH, Chou CK, Takahashi H, Shieh TY, Chang KP, Lee SS, Lai CS, Lin SD, Lin TM*. Microautologous Fat Transplantation for Primary Augmentation Rhinoplasty: Long-Term Monitoring of 198 Asian Patients. Aesthet Surg J. 2016 Jun;36(6):64856. 4. Lin SD*, Huang SH, Lin YN, Wu SH, Chang HW, Lin TM, Chai CY, Hsieh DJ, Chang KP. Injected Implant of Uncultured Stromal Vascular Fraction Loaded Onto a Collagen Gel: In Vivo Study of Adipogenesis and Longterm Outcomes. Ann Plast Surg. 2016 Mar;76 Suppl 1:S108-16. 5. Lai YW, Lee SS, Chang KP, Huang SH, Lin YN, Lin SD, Lai CS*. Blood supply classification and varied clinical
Management manifestations of skeletal muscle infarction. Ann Plast Surg. 2015 May;74 Suppl 2:S109-12. 6. Huang SH, Lin YN, Lee SS, Chai CY, Chang HW, Lin TM, Lai CS, Lin SD*. New adipose tissue formation by human adipose-derived stem cells with hyaluronic acid gel in immunodeficient mice. Int J Med Sci. 2015 Jan 8;12(2):154-62. 7. Hsieh TY, Lin YN, Lin SD*, Lai CS, Chang KP, Lee SS, Huang SH, Hou MF, Chen FM, Ou-Yang F. Immediate transverse rectus abdominis musculocutaneous flap reconstruction is associated with improved cancerspecific survival in locally advanced breast cancer. Ann Plast Surg. 2014 Sep;73 Suppl 1:S31-6. 8. Hsieh TY, Lin YN, Lin SD*, Lai CS, Chang KP, Lee SS, Huang SH, Hou MF, Chen FM, Ou-Yang F. Breast Cancer Patients With and Without Transverse Rectus Abdominus Myocutaneous Flap Reconstruction: Better Conformity with Practice Guideline is Associated With Improved Survival and Reduced Local Recurrence. J Taiwan Soc of Plast Surg. 2014;23(4):291-305. 9. Lin YN, Lin SD*, Chang KP. Endoscope-assisted surgery for management of varicosity in Klipper-Trenaunay
syndrome: a case report. J Taiwan Soc of Plast Surg. 2013;22(4):314-20. 10. Lin YN, Lin SD*, Lai CS, Chang KP, Hou MF. Is It Safe For An Asian Woman To Be Pregnant After TRAM Flap Surgery For Breast Reconstruction? �? A Case Report. J Taiwan Soc of Plast Surg. 2012;21(4):343-50. 11. Lin YN, Lin SD*, Huang SH, Lee SH, Lai CS, Chang KP. Endoscopic Assisted Surgical Management of Superficial Thrombophlebitis in Patients with Primary Varicose Veins. J Taiwan Soc of Plast Surg. 2012;21(2):90-8. 12. Lin SD*, Huang SH, Lin YN, Wu SH, Chang HW, Lin TM, Chai CY, Lai CS. Engineering adipose tissue from uncultured human adipose stromal vascular fraction on collagen matrix and gelatin sponge scaffolds. Tissue Eng Part A. 2011 Jun;17(11-12):1489-98.
 

Biography

Dr. Lin manages the varicose veins with the assistance of endoscopic surgery to decrease the recurrence rate. He also performs immediate breast reconstruction with pedicled transverse rectus abdominis myocutaneous flap. He is specialized in the field of fat grafting and wound healing.

Email:yunnan1123@gmail.com