Combination technique of tumescent anesthesia during endovenous laser therapy of saphenous vein insufficiency☆

Abstract

Combination technique of administering tumescent anesthesia before ablation and continuously during the EVLT procedure may be an alternative way to reduce the patient's peroperative pain and discomfort.

Less Painful Tumescent Solution for Patients Undergoing Endovenous Laser Ablation of the Saphenous Vein

“…It also reduces the incidence of postoperative DVT. 13 Anesthesia technique may range from general anesthesia combined with tumescent anesthesia, spinal anesthesia combined with tumescent anesthesia, sedation combined with tumescent solution without local anesthetic drug or tumescent anesthesia alone, when EVLT is performed with synchronous phlebectomy 6,14 . In our study, we used the latter anesthesia technique in all patients.…”

A Comparative Study of the Efficacy of Endovenous Laser Treatment of the Incompetent Great Saphenous Under General Anesthesia with External Air Cooling with and Without Tumescent Anesthesia

“…This indicates the need for carefully conducted patient observation immediately after infiltration into the aforementioned areas. 10,14,15 In our clinical study, general sedation was equal in both groups. In the tumescent anaesthesia group, sedation permitted the administration of multiple injections without causing discomfort to the patient.…”

Endovenous Laser Ablation under General Anesthesia for Day Surgery: Feasibility and Outcomes of the 300 Patients

“…11,12) By this way, it decreases the intravascular blood for coagulation and serves for decreasing of DVT risk. 13) Despite these advantages, EVLA procedure under TA is still associated with significant stress, pain and discomfort for the patient. 8) A number of methods can be used currently to eliminate pain and discomfort during EVLA.…”