Jornal Vascular Brasileiro
https://www.jvascbras.org/article/doi/10.1590/S1677-54492009000400006
Jornal Vascular Brasileiro
Original Article

The role of transillumination phleboscopy in the planning of cosmetic operations for varicose veins

Ricardo C. Rocha Moreira; Márcio Miyamotto; Ramzi Abdallah El-Hosni Jr.; Barbara D’; Agnoluzzo Moreira

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Abstract

Background: The cosmetic treatment of varicose veins is the main activity of most vascular surgeons in Brazil. In order to obtain satisfactory cosmetic results, careful planning of varicose vein operations is necessary. Objective: Marking (or "mapping") the varicose veins with indelible ink is an essential step in planning cosmetic surgeries for lower limb varicose veins. In the present study, the role of transcutaneous phleboscopy (TcPh) in planning varicose vein operations is evaluated. Methods: A series of 100 consecutive patients, all female, were evaluated with TcPH as part of their varicose vein operations planning. A total of 171 limbs with varicose veins (71 bilateral and 29 unilateral) were evaluated. The process of marking the varicose veins followed the same protocol in all cases. Firstly, the varicose veins were marked by inspection and palpation, with the patient standing, using an indelible black ink pen. Secondly, with the patients resting in supine and prone positions, the varicose veins detected with TcPh were marked again with red or blue ink. The marks made by the two methods were then compared. Results: In 41 patients, for a total of 80 limbs (46.8%), the marks were altered after use of TcPh. Reasons for such changes were: 1) identification of other varicose veins; 2) identification of reticular veins draining complex telangiectasias; and 3) changes in the position of the marks placed with the patient standing. Conclusions: TcPh has altered the planning of varicose vein surgeries in 46.8% of all limbs evaluated, especially when the patients had complex telangiectasias, associated with reticular varicose veins.

Keywords

Varicose veins, surgical diagnostic techniques, vascular surgery

References

Merlo I, Parente JB-H, Komlós PP, Pinto-Ribeiro RL, Janeiro MJC. Tratamento cirúrgico das varizes. Varizes e telangiectasias: diagnóstico e tratamento. 2006:224-42.

Weiss RA, Goldman MP. Transillumination mapping prior to ambulatory flebectomy. Dermatol Surg. 1998;24:447-50.

El Hosni RA. Localização e mapeamento de microvarizes combinadas às telangiectasias através da transiluminacão. . .

Castro e Silva M, Cabral ALS, Barros Jr N, Castro AA, Santos MERC. Diretrizes da SBACV: diagnóstico e tratamento da insuficiência venosa crônica. J Vasc Bras. 2005;4(^sSupl 2):S185-94.

Mercer KG, Scott DJ, Berridge DC. Preoperative duplex scan is required before all operations for primary varicose veins. Br J Surg. 1998;5:1495-7.

Wong JK, Duncan JL, Nichols DM. Whole-leg duplex mapping for varicose veins: observations on patterns of reflux in recurrent and primary legs, with clinical correlation. Eur J Vasc Endovasc Surg. 2003;25:267-75.

Seidel AC, Miranda F Jr, Juliano Y, Novo NF, dos Santos JH, de Souza DF. Prevalence of varicose veins and venous anatomy in patients without truncal saphenous reflux. Eur J Vasc Endovasc Surg. 2004;28:387-90.

Cavezzi A, Labropoulos N, Partsch H. Duplex ultrasound investigation of the veins in chronic venous disease of the lower limbs: UIP consensus document. Part II. Anatomy. Eur J Vasc Endovasc Surg. 2006;31:288-99.

Engelhorn CA, Engelhorn AL, Cassou MF, Salles-Cunha SX. Patterns of saphenous reflux in women with primary varicose veins. J Vasc Surg. 2005;41:645-51.

London NJ. Duplex ultrasonography and varicose veins. Br J Surg. 2007;94:521-2.

Smith JJ, Brown L, Greenhalgh RM, Davies AH. Randomised trial of pre-operative colour duplex marking in primary varicose vein surgery: outcome is not improved. Eur J Vasc Endovasc Surg. 2002;23:336-43.

Makris SA, Karkos CD, Awad S, London NJ. An "all-comers" venous duplex scan policy for patients with lower limb varicose veins attending a one-stop vascular clinic: is it justified?. Eur J Vasc Endovasc Surg. 2006;32:718-24.

Cohen SW, Banko W, Nusbacher N. Transillumination of the angular and frontal veins. Am J Ophthalmol. 1975;80:765-6.

El Hosni RA. Localização e mapeamento de microvarizes combinadas às telangiectasias através da iluminacão transcutânea. Cir Vasc Angiol. 2001;17:44-7.

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