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Observational Study
. 2022 Jun;37(5):393-399.
doi: 10.1177/02683555221081816. Epub 2022 Mar 23.

Feasibility of incompetent perforator vein excision using stab avulsion

Kenji Yamamoto  1 , Senri Miwa  1 , Tomoyuki Yamada  2 , Shuji Setozaki  3 , Mamoru Hamuro  1 , Shunji Kurokawa  1 , Sakae Enomoto  1
Affiliations
Observational Study

Feasibility of incompetent perforator vein excision using stab avulsion

Kenji Yamamoto et al. Phlebology. 2022 Jun.

Abstract

Objectives: Whether incompetent perforator veins (IPVs) require treatment remains controversial. We retrospectively evaluated the feasibility of IPV excision performed using the stab avulsion technique without ligation and sutures in patients undergoing endovenous ablation (EA).

Methods: This was a single-center, retrospective, observational cohort study. EA was performed in 1503 consecutive patients, including 33 patients with ulcers, between December 2014 and May 2021. Varicectomy was performed using the stab avulsion technique; IPV cases were included.

Results: Stab avulsion was performed at a mean number of 11.4 ± 7.8 sites. No deep vein thromboses or pulmonary emboli were noted. The incidence of nerve injury was 0.3%. All 33 (100%) patients with ulcers achieved healing by 1 year (median: 55.5 days; range: 13-365 days).

Conclusions: IPV excision via stab avulsion may be a viable option for treating varicose veins and ulcers. This technique offers multiple advantages, including simplicity, safety, and reduced healthcare costs.

Keywords: Endovenous ablation; nerve injury; stab avulsion; varicose veins; venous thrombosis.

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Conflict of interest statement

Declaration of conflicting interests: The author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.

Figures

Figure 1.
Figure 1.
Typical case of a healed venous ulcer. Case 4, a 68-year-old woman with a total healing time of 3 months. (a) Before the operation. (b) Five months after the operation.
See this image and copyright information in PMC

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