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I am happy and proud to announce that I am now able to offer the procedure of powered-phlebectomy, the “Trivex” procedure as an in-office procedure in selected cases.

Inavein, the developer of the Trivex procedure, has chosen Northside Vein Care’s Chicago office as only one of two surgical practices in the country to offer this procedure in the office.

The other office, being that of the developer of the product, Dr. Gregory Spitz.

The Trivex procedure, prior to this, has only been offered as a minimally-invasive procedure to remove varicose veins in the operating room.(To see the procedure, go to: This continues to be an option in cases that warrant that venue. Trivex continues to provide an efficacious method to remove varicose veins completely and quickly. Transilluminated Powered Phlebectomy (Trivex) has significantly improved the overall outcomes of patients with venous varicosities:

  • A positive patient satisfaction rate of 99.7% with both the Trivex procedure, and the outcome
  • A mean operative time of 19.7 minutes
  • No recurrences at 3-month, post-operative follow up

The Trivex procedure done in the office will be performed entirely under local anesthetic. This technique will be performed under tumescent local anesthetic, whereby the area to be operated on will be locally infiltrated with lidocaine, and the procedure performed. The procedure will take approximately 20-30 minutes.

I am excited and honored to be able to offer this procedure to your patients. If you have any questions, please contact me at your convenience.

How does Transilluminated Powered Phlebectomy Work?

Step 1
First step in Transilluminated Powered Phlebectomy procedure
The Trivex procedure starts with a cannula illuminator delivering tumescent local anesthesia while simultaneously hydrodissecting the vein for easy removal.

Step 2
step 2 in the Transilluminated Powered Phlebectomy procedure
Targeted veins are easily identified for removal and a clearly visualized end point.

Step 3
step 3 in the Transilluminated Powered Phlebectomy procedure
Resector gently extracts veins by suction and morcellation in a controlled fashion.