[Technique and results of cryo-stripping in the treatment of varicose veins of the lower limbs].
Stripping of varicose veins, a reference method, causes postoperative pain and sometimes dysesthesia due to saphenous nerve damage. Ankle wound healing is sometimes painful and often unaesthetic. Invaginated stripping eliminates some of the drawbacks, but keeps the lower wound and must be left in the case of recurrent saphenous rupture. Those two techniques do not allow total saphenous resection in the case of infected ulcers. Cryosurgery can be used regardless of the state of the ankle skin. It allows a complete invaginated stripping without ankle wound.


METHODS
Over a 9-year period, 6157 limbs (3255 patients) underwent cryosurgery for varicose veins. The indication in 88% of cases was based on functional or aesthetic reasons and in 7% of the cases, hypodermitis, in 3% ulcerations and in 2% superficial venous thrombosis.


RESULTS
Postoperatively, a single case of sural phlebitis was observed. Frequency and intensity of pain and hematomas are decreased. Thanks to this technique, the lower incision can be avoided thus giving better aesthetic results.


CONCLUSIONS
Cryosurgery for varicose veins can be used in any circumstances. It has a similar efficacy to the stripping technique. Aesthetic and functional results are better. It is an important improvement especially in case of ulceration.
Constantin
J M
JM
Unité de Chirurgie Vasculaire, Clinique Saint-Joseph, Angoulême.
Etienne
G
G
Hévia
M
M
D003452:Cryosurgery / Q000379:methods*; D006406:Hematoma / Q000209:etiology; D006801:Humans; D007866:Leg / Q000098:blood supply; D010149:Postoperative Pain / Q000517:prevention & control; D012501:Saphenous Vein / Q000000981:diagnostic imaging / Q000601:surgery*; D016896:Treatment Outcome; D014463:Ultrasonography; D014647:Varicose Ulcer / Q000601:surgery; D014648:Varicose Veins / Q000000981:diagnostic imaging / Q000601:surgery*; D014656:Vascular Surgical Procedures / Q000009:adverse effects / Q000379:methods
Techniques et résultats du cryo-éveinage dans le traitement des varices des membres inférieurs.