Epidemiological profile of surgical treatment of varicose veins in Brazil from 2010 to 2020

Bentes, Lívia Guerreiro de Barros; Lemos, Rafael Silva; Santos, Deivid Ramos dos; Reis, José Maciel Caldas dos

doi:10.1590/1677-5449.202102022

Cited by 1 publication

(2 citation statements)

References 25 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Copyright: ©2024 Imbelloni et from 2010 to 2020, 755,752 surgeries were performed to treat varicose veins, of which 292,538 were unilateral (38.71%) and 463,214 (61.29%) were bilateral. 2 A recent systematic review showed that there is evidence of low to moderate quality to suggest that minimally invasive treatments, including foam sclerotherapy, laser, and radiofrequency are comparable to conventional surgery, regarding their effectiveness and safety in treating lower-limb varicose veins. 3 In a recent article, we showed that spinal anesthesia is much more than the use of a single injection of hyperbaric bupivacaine.…”

Section: Meaningmentioning

confidence: 99%

“…4 There are several techniques for treating varicose veins. [1][2][3] Being the most serious and operated on in the SUS system, they normally require anesthesia, with spinal anesthesia being the most used. When the patient does not have the saphenous vein removed, the patient can be operated initially in the prone position and later completed in the supine position.…”

Section: Meaningmentioning

confidence: 99%

See 1 more Smart Citation

Posterior anesthesia for lower limb varicose veins: a case report with video

Lmbelloni, MD, PhD,

Vieira, MD, PhD,

Calaça Rivoli, MD

et al. 2024

JACCOA

View full text Add to dashboard Cite

Background: Patient with a history of dissatisfaction during spinal anesthesia for orthopedic surgery, due to the unpleasant long duration of motor blockade of the lower limbs. During the pre-anesthetic consultation, she requested another type of anesthesia for the surgical treatment of varicose veins in the lower limbs. Case report: A 58-year-old female patient presented with varicose veins, for surgical treatment without removing the saphenous vein, only the collaterals. Patient with a history of controlled hypertension, normal blood tests, normal ECG, and chest X-ray. Abbreviation for fasting with 200 ml CHO. Venous access with #20G extract and monitoring with continuous ECG, NIBP, SpO2, and EtCO2 through a nasal catheter. Cleaning the skin with chlorhexidine and local anesthesia with 3 ml of 1% lidocaine. The spinal puncture was performed with the patient in the ventral position, by the median line in the L3-L4 interspaces using a 27G Quincke needle, after the appearance of CSF 7.5 mg of 0.15% hypobaric bupivacaine was administered at a speed of 1 mL/15s. Immediate latency, superior level T10 analgesia, without any degree of motor block. The surgical procedure posterior lasted 1:40 hours, and anterior lasted 1:20 hours, both without any degree of motor blockade and without cardiocirculatory and respiratory changes. The patient mobilized alone on the surgical table, without assistance from the prone position to the supine position. At PACU she received 200 ml of CHO and was discharged to her room. At the end of the day, she was released to her residence. Conclusion: The practice of prone positioning for performing posterior dorsal anesthesia remains relatively unfamiliar to many anesthetists. The use of a low dose of 0.15% hypobaric bupivacaine, the low cephalic dispersion of the analgesia, and the predominance of sensory roots allow the surgery to be performed without any degree of motor blockade, and proprioception remains. The use of posterior spinal anesthesia and the abbreviation of fasting before and immediately after surgery allowed excellent patient satisfaction.

show abstract

Section: Meaningmentioning

confidence: 99%