Suppurative thrombophlebitis surgery
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
Overview
Surgical treatment of suppurative thrombophlebitis is considered in cases that do not respond to antimicrobial therapy. Incision and drainage, or excision of the affected vein and its tributaries may be considered during the surgical settings.[1]
Suppurative Thrombophlebitis Surgery
- For peripheral veins suppurative thrombophlebitis, usually incision and drainage, or excision of the affected vein and its tributaries is the procedure, but sometimes they are inadequate alone to remove the septic focus and recurrent bacteremia can occur; in such cases, radical vein excision may be needed.[2][3]
- For Lemierre's syndrome, surgical ligation or excision of the internal jugular vein may be used, along with drainage of pulmonary abscesses or empyema if present.[4]
- In cases of vena cava suppurative thrombophlebitis, surgical excision or ligation is not possible, and the used procedure is thrombectomy if the thrombus shows propagation despite antibiotic and anticoagulation therapy.[2]
References
- ↑ Villani C, Johnson DH, Cunha BA (1995). "Bilateral suppurative thrombophlebitis due to Staphylococcus aureus". Heart Lung. 24 (4): 342–4. PMID 7591803. Unknown parameter
|http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=ignored (help) - ↑ 2.0 2.1 Kniemeyer HW, Grabitz K, Buhl R, Wüst HJ, Sandmann W (1995). "Surgical treatment of septic deep venous thrombosis". Surgery. 118 (1): 49–53. PMID 7604379. Unknown parameter
|http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=ignored (help) - ↑ Khan EA, Correa AG, Baker CJ (1997). "Suppurative thrombophlebitis in children: a ten-year experience". Pediatr Infect Dis J. 16 (1): 63–7. PMID 9002104. Unknown parameter
|http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=ignored (help) - ↑ Sinave CP, Hardy GJ, Fardy PW (1989). "The Lemierre syndrome: suppurative thrombophlebitis of the internal jugular vein secondary to oropharyngeal infection". Medicine (Baltimore). 68 (2): 85–94. PMID 2646510. Unknown parameter
|http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=ignored (help)