ABSTRACT

Supplies needed to perform procedure: phlebectomy hooks (Muller,

Ramlet, Vardey, and other), venous probes, hemostats (large and

medium size) #6, hemostats (distal tooth) #2, #11 blade, needle

holder, straight iris scissors, tissue forceps, 4 4 gauze (large pack), kling bandage, short stretch elastic bandages, 30-40 mm graduated

compression stocking

Anesthesia: 1:10 dilution of 1% lidocaine with epinephrine, diluted with

normal saline, (lidocaine 0.1%, epinephrine 0.75 mg/L). The solution is mixed in a 500 or 1000 mL bag of normal saline. The liter bag is

warmed prior to infiltration to achieve a temperature of 37-408C. Infiltration is accomplished with #25 and/or #20 gage spinal needle with a Klein infusion pump at settings ranging from three to nine

Number of people required to perform procedure: 2

Minimum qualification of employee performing procedure: medical

assistant

PROCEDURE

1. All informed consents are explained to the patient, and payment

received.