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A Journal on Surgery

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Chirurgia 2005 October;18(5):299-302

language: Italian

Varicose veins under local anaesthesia. The definitive choice?

Garavello A., Boccuzzi M., Gervasio C., Manfroni S., Antonellis D.


Aim. Also if the great part of varicose veins surgery is performed under general or peripheral anaesthesia, local anaesthesia and Day Hospital Surgery are becoming even more popular for economic reasons. The aim of the article is to verify if varicose veins surgery under LA is safe and may represent a valuable choice for all the patient affected by varicose veins.
Methods. We reviewed our experience Between May 2000-May 2002; 100 operations for varicose veins of the lower limbs were performed under LA in a population of non selected patients.
Results. Ninety-two flush ligations of the Long Saphenous Vein with varicectomy (6 for recurrence), 6 flush ligations of the Short saphenous vein, and 2 Muller phlebectomies for recurrence were performed. LA was administered by the surgeon himself, the anaesthesiologist was not present in the operatory room, but avalaible on call. 97% of the patients were operated on Day hospital basis and only 3 patients stayed overnight for non medical reasons. There were no allergic reactions or toxicity to LA and no ''conversions'' to general anaesthesia; intraoperative sedation was necessary only in 1 patient.
Conclusion. LA is a simple and safe technique, and represents a valuable choice for varicose veins surgery in all patients; nevertheless experience and skill of the surgeon is mandatory and a ''dedicated'' team is reccomended.

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