Vascular

V1 AAA (Abdominal Aortic Aneurysmectomy

V2 Hickman Catheter Insertion

V3 Insertion of Porta Cath

V4 Trendelenburg Operation + Stripping + Stab Avulsion

V5 Saphenopopliteal junction (SPJ) Ligation

V6 Endovenous Laser Ablation (EVLA) +/- Stab Avulsion

V7 Stripping + Trivex System

V8 Subfascial Endoscopic Perforation Surgery 

V9 Removal of Porta Cath

General Theatre setting for Vascular Cases  

Photo guide for varicose vein operation 

Message from Dr. Yih P on 2/12/2024

Vascular Heparin saline: 10 units per ml.

Tumescent

Tumescent Anesthesia

Tumescent anesthesia involves the injection of a very dilute local anesthetic solution, coupled with epinephrine and sodium bicarbonate, into tissue until it becomes firm and tense (tumescent). The technique was initially pioneered in the 1980s for the purposes of liposuction, but its application has since expanded to cover a variety of surgeries. In the field of plastic and reconstructive surgery, this includes mastectomy, breast reduction, breast augmentation, and perhaps more controversially, breast reconstruction.

Tumescent

2% Xylocaine with 1: 20, 000 Adrenaline     28ml

Normal Saline                                                                28ml

8.4% Sodium Bicarbonate                                      5.6ml

ALL the above ingredients added to 500 ml COLD Normal saline  

**the mixture of the Tumescent could be used up to 4 hours after mixing** 

Please mark the time on the drug label. 

For EVLA cases in NDH 

Dilution of Tumoscent Solution 

Used in Varicose Vein Surgery 

For sclerosing procedure: 

Dilution of Sodium Tetradecyl sulphate injedction 

3% in 5ml to 1 %

Formula: 

3 % x 5ml / 1 % 

i.e. total volume : 15 ml 

By adding 10 ml NS for injection 

(Please order the drug in ward, NO stock in NDH OT) 

Vascular basic set 

S007 Trendelenburg Set 

Laser Safety

Quick user guide for Biolitec laser VV leg treatment

Laser safety checklist 

AAA graft item by Dr. A. Ng

Available AAA graft and suture in NDH OT