When is venous excision indicated for the treatment of superficial thrombophlebitis?

Updated: Apr 17, 2019
  • Author: Khanjan H Nagarsheth, MD, MBA; Chief Editor: Vincent Lopez Rowe, MD  more...
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Answer

With persistence or spread of the process, the thrombophlebitic vein may be excised. [33] Patients who demonstrate signs and symptoms of septic thrombophlebitis require urgent venous excision to control the septic focus. This is usually performed through a direct incision over the vein, allowing removal of the infected thrombosed segment along with wide debridement of any surrounding infected or necrotic tissue. Cultures are sent to guide antibiotic therapy.


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