New Device for Saphenous Vein Stripping with Invagination Method from One Groin Incision

• Published in: Japanese Journal of Vascular Surgery Vol. 17; no. 5; pp. 551 - 556
• Main Authors: Hatano, Minoru, Niimi, Masanori, Horiguchi, Sadaaki, Koike, Yousuke, Kawahara, Mari, Kono, Michitaka, Shirato, Hiroyuki, Shirasugi, Nozomu, Miyazawa, Yukihisa
• Format: Journal Article
• Language: Japanese
• Published: JAPANESE SOCIETY FOR VASCULAR SURGERY 25.08.2008
• Subjects: Invaginated stripping; InvisiGrip; Varicose vein
• ISSN: 0918-6778; 1881-767X
• DOI: 10.11401/jsvs.17.551

Aim: Conventional stripping requires two incisions (groin and distal side). We report experience with a new vein stripper, InvisiGrip (LeMaitre Vascular, Inc., Germany). It has already been authorized in Europe and the USA, and is in clinical use. InvisiGrip enables us to strip the great saphenous vein by an invagination method from one groin incision with little hemorrhage after operation. Methods: From November 2006 to August 2007, 34 patients with 44 limbs underwent the stripping operation with InvisiGrip. Six men (7 limbs) and 28 women (37 limbs) were aged from 29 to 78 years old (average age 58.0). The preoperative coexisting symptoms was one case of cardiac disease with Warfarin control and one hepatic disorder. Results: There were remarkable complications. Although 31 great saphenous veins were successfully removed with the invagination method, 13 great saphenous veins were traditionally removed. Although 29 great saphenous veins were successfully removed with one procedure, 10 veins needed two procedures. He additional incision has been required for stripping. There was no subcutaneous hematoma after operation in 36 limbs. Although 8 subcutaneous hematomas were recognized 7 days after operation, all subcutaneous changes were diminished within one month after operation. In addition, body mass index did not affect the success rate for the surgical procedure. Conclusion: No remarkable complications have been recognized with the used the new vein stripper, InvisiGrip. It allows us to remove the great saphenous vein from one groin incision safely and successfully.