Minimally invasive treatments for perforator vein thrombosis in varicose vein with recurrent thrombophlebitis: a case report

Birbal Kumar; Manu Shankar; Sachin Mittal; Nitin Sardana; Santosh Shah; Amarjit Kumar

doi:10.18203/2349-2902.isj20250582

Authors

Birbal Kumar Department of Robotic, Laser, Bariatric and Minimal Invasive General Surgery, Marengo Asia Hospital, Faridabad, Haryana, India
Manu Shankar Department of Robotic, Laser, Bariatric and Minimal Invasive General Surgery, Marengo Asia Hospital, Faridabad, Haryana, India
Sachin Mittal Department of Robotic, Laser, Bariatric and Minimal Invasive General Surgery, Marengo Asia Hospital, Faridabad, Haryana, India
Nitin Sardana Department of Robotic, Laser, Bariatric and Minimal Invasive General Surgery, Marengo Asia Hospital, Faridabad, Haryana, India
Santosh Shah Department of Robotic, Laser, Bariatric and Minimal Invasive General Surgery, Marengo Asia Hospital, Faridabad, Haryana, India
Amarjit Kumar Department of Robotic, Laser, Bariatric and Minimal Invasive General Surgery, Marengo Asia Hospital, Faridabad, Haryana, India

DOI:

https://doi.org/10.18203/2349-2902.isj20250582

Keywords:

Perforator vein, Thrombosis, DVT, Endovenous laser ablation

Abstract

Perforator vein thrombosis is less studied than deep vein thrombosis (DVT), because it has been considered to be a minor, self-limiting disease that is easily diagnosed on clinical grounds and that requires only symptomatic relief. The most frequently involved sites of the perforator vein are the lower limbs, especially mid leg below knee joint, mostly in relation to varicosities. Lower-limb perforator vein thrombosis shares the same risk factors as DVT; it can propagate into the deep veins, and have a complicated course with pulmonary embolism. We will report about a case of perforator vein thrombosis with recurrent thrombophlebitis and cellulitis and subfascial ligation along with thrombectomy of perforator vein thrombosis following the therapy of truncal varicose vein great saphenous vein (GSV) with endovenous laser ablation (EVLA) in one session after conservative treatment.

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