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
Hauptverfasser: Hubmer, Martin G, Koch, Horst, Haas, Franz M, Horn, Michael, Sankin, Oliver, Scharnagl, Erwin
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container_end_page 265
container_issue 1
container_start_page 263
container_title Journal of vascular surgery
container_volume 39
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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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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