[Surgical repair of varicose veins of the lower limbs by saphenous vein stripping].
For a long time, high ligation and stripping of the saphenous trunk was the only technique used to deal with primary varicose veins when surgical treatment was recommended. Duplex ultrasound has demonstrated that this attitude is not well-founded in many cases. Alternative techniques have been proposed and performed. Some of them have not been submitted to randomised and prospective studies. Others, particularly high ligation and stab avulsion of collaterals with preservation of the long saphenous trunk, have been evaluated. The author indicates in which cases high ligation + stripping of the saphenous trunk remains justified and in which situations it is not. All indications must be based on clinical examination and duplex ultrasound.
Perrin
M
M
Chirurgie Vasculaire, Clinique du Grand Large, Decines Charpieu.
D006801:Humans; D007866:Leg / Q000098:blood supply* / Q000000981:diagnostic imaging; D012501:Saphenous Vein / Q000000981:diagnostic imaging / Q000601:surgery*; D016896:Treatment Outcome; D018608:Ultrasonography, Doppler; D014648:Varicose Veins / Q000000981:diagnostic imaging / Q000601:surgery*; D014656:Vascular Surgical Procedures / Q000009:adverse effects / Q000379:methods
Cure chirurgicale des varices des membres inférieurs par stripping des veines saphènes.