A novel technique in varicose vein surgery: Grasp-all-first

Many surgeons remove the varicose veins one by one. However, this technique is time-consuming with considerable blood loss, particularly in severely affected limbs. In advanced cases, varicose veins have a continuous structure and a chain-like appearance under the skin, and the use of this technique is associated with bleeding from the veins to which the extracted vein is connected. Herein, the Grasp-all-first technique (sequential extraction) which was developed for particularly advanced cases by the author of this manuscript was presented.