Necrotizing fasciitis after ambulatory phlebectomy performed with use of tumescent anesthesia
The high cost of treatment of varicose veins has an important role in public health care. The search for a less expensive and office-based procedure led to introduction of tumescent local anesthesia for use in ambulatory phlebectomy. Although the overall infection rate is low, severe infection has b...
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Veröffentlicht in: | Journal of vascular surgery 2004, Vol.39 (1), p.263-265 |
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container_title | Journal of vascular surgery |
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creator | Hubmer, Martin G Koch, Horst Haas, Franz M Horn, Michael Sankin, Oliver Scharnagl, Erwin |
description | The high cost of treatment of varicose veins has an important role in public health care. The search for a less expensive and office-based procedure led to introduction of tumescent local anesthesia for use in ambulatory phlebectomy. Although the overall infection rate is low, severe infection has been reported after liposuction with tumescent anesthesia. We report necrotizing fasciitis, an infection with a mortality rate of 30% to 50%, after ambulatory phlebectomy and stripping of the long saphenous vein with use of tumescent anesthesia. |
doi_str_mv | 10.1016/j.jvs.2003.07.014 |
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The search for a less expensive and office-based procedure led to introduction of tumescent local anesthesia for use in ambulatory phlebectomy. Although the overall infection rate is low, severe infection has been reported after liposuction with tumescent anesthesia. We report necrotizing fasciitis, an infection with a mortality rate of 30% to 50%, after ambulatory phlebectomy and stripping of the long saphenous vein with use of tumescent anesthesia.</description><identifier>ISSN: 0741-5214</identifier><identifier>EISSN: 1097-6809</identifier><identifier>DOI: 10.1016/j.jvs.2003.07.014</identifier><identifier>PMID: 14718851</identifier><identifier>CODEN: JVSUES</identifier><language>eng</language><publisher>New York, NY: Mosby, Inc</publisher><subject>Ambulatory Surgical Procedures ; Anesthesia, Local - adverse effects ; Anesthesia, Local - methods ; Biological and medical sciences ; Fasciitis, Necrotizing - etiology ; Humans ; Leg ; Male ; Medical sciences ; Middle Aged ; Saphenous Vein - surgery ; Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases ; Varicose Veins - surgery ; Vascular surgery: aorta, extremities, vena cava. 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The search for a less expensive and office-based procedure led to introduction of tumescent local anesthesia for use in ambulatory phlebectomy. Although the overall infection rate is low, severe infection has been reported after liposuction with tumescent anesthesia. We report necrotizing fasciitis, an infection with a mortality rate of 30% to 50%, after ambulatory phlebectomy and stripping of the long saphenous vein with use of tumescent anesthesia.</description><subject>Ambulatory Surgical Procedures</subject><subject>Anesthesia, Local - adverse effects</subject><subject>Anesthesia, Local - methods</subject><subject>Biological and medical sciences</subject><subject>Fasciitis, Necrotizing - etiology</subject><subject>Humans</subject><subject>Leg</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Saphenous Vein - surgery</subject><subject>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</subject><subject>Varicose Veins - surgery</subject><subject>Vascular surgery: aorta, extremities, vena cava. Surgery of the lymphatic vessels</subject><subject>Vascular Surgical Procedures - adverse effects</subject><issn>0741-5214</issn><issn>1097-6809</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2004</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kD1vFDEQhi0EIpfAD6BBbqDbZWa9PtuiQhFJkCLShBJZ3t0x59N-HLY3KPx6HN1J6ag8xTPj930Ye4dQI-D2077eP6S6ARA1qBqwfcE2CEZVWw3mJduAarGSDbZn7DylPQCi1Oo1O8NWodYSN-znd-rjksPfMP_i3qU-hBwSdz5T5G7q1tHlJT7yw26kjvq8TGWm6Jc40cD_hLzjayK-eJ7XiVJPc-ZuppR3lIJ7w155NyZ6e3ov2I-rr_eXN9Xt3fW3yy-3Vd82Ta600YPU4ImkEZIcwUCksaVtB6AG4Vsy2iF0IBo0qLyQXYNiEGR6bUQjLtjH491DXH6v5Xc7hZJlHEuUZU1WA5imVC4gHsFSOqVI3h5imFx8tAj2yand2-LUPjm1oGxxWnben46vXSn9vHGSWIAPJ6D4c6OPbu5Deuak1AKVKdznI0dFxUOgaItumnsaQixq7bCE_8T4B85Olco</recordid><startdate>2004</startdate><enddate>2004</enddate><creator>Hubmer, Martin G</creator><creator>Koch, Horst</creator><creator>Haas, Franz M</creator><creator>Horn, Michael</creator><creator>Sankin, Oliver</creator><creator>Scharnagl, Erwin</creator><general>Mosby, Inc</general><general>Elsevier</general><scope>6I.</scope><scope>AAFTH</scope><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>2004</creationdate><title>Necrotizing fasciitis after ambulatory phlebectomy performed with use of tumescent anesthesia</title><author>Hubmer, Martin G ; Koch, Horst ; Haas, Franz M ; Horn, Michael ; Sankin, Oliver ; Scharnagl, Erwin</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c422t-898d580fee5935eae0dee814e6b007d3f4e98a10b0321917f35b213d3e9c89323</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2004</creationdate><topic>Ambulatory Surgical Procedures</topic><topic>Anesthesia, Local - adverse effects</topic><topic>Anesthesia, Local - methods</topic><topic>Biological and medical sciences</topic><topic>Fasciitis, Necrotizing - etiology</topic><topic>Humans</topic><topic>Leg</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Saphenous Vein - surgery</topic><topic>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</topic><topic>Varicose Veins - surgery</topic><topic>Vascular surgery: aorta, extremities, vena cava. 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The search for a less expensive and office-based procedure led to introduction of tumescent local anesthesia for use in ambulatory phlebectomy. Although the overall infection rate is low, severe infection has been reported after liposuction with tumescent anesthesia. We report necrotizing fasciitis, an infection with a mortality rate of 30% to 50%, after ambulatory phlebectomy and stripping of the long saphenous vein with use of tumescent anesthesia.</abstract><cop>New York, NY</cop><pub>Mosby, Inc</pub><pmid>14718851</pmid><doi>10.1016/j.jvs.2003.07.014</doi><tpages>3</tpages><oa>free_for_read</oa></addata></record> |
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subjects | Ambulatory Surgical Procedures Anesthesia, Local - adverse effects Anesthesia, Local - methods Biological and medical sciences Fasciitis, Necrotizing - etiology Humans Leg Male Medical sciences Middle Aged Saphenous Vein - surgery Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases Varicose Veins - surgery Vascular surgery: aorta, extremities, vena cava. Surgery of the lymphatic vessels Vascular Surgical Procedures - adverse effects |
title | Necrotizing fasciitis after ambulatory phlebectomy performed with use of tumescent anesthesia |
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