Varicose vein surgery with preservation of the saphenous vein: A comparison between high ligation-avulsion versus saphenofemoral banding valvuloplasty-avulsion

Midterm results of the surgical treatment of varices by phlebectomy with conservation of a refluxing saphenous vein

“…Consequently, regardless of the treatment technique, it is logical to contemplate a long-term follow-up for the patients treated for varices, with the adaptation of the procedures and the choice of techniques on a case-by-case basis and with the abandonment of invariable and needlessly destructive treatments. [44][45][46][47] Within this context, the choice of a treatment limited to phlebectomy-even in the presence of saphenous reflux-may be the first-line treatment apart from the evolved stages because it is minimally invasive, focuses on the varicose reservoir, and respects the saphenous axis, whose recuperative potential-as our study has shown-is far from negligible. Preservation of the SV, whose physiologic role may perhaps have been discounted, should be an important factor in the long-term management of varicose disease.…”

Long-term results of external valvuloplasty in adult patients with isolated great saphenous vein insufficiency

“…At the same time, it would prevent formation of varicose veins. For this reason, various devices including Dacron-reinforced silicone cuffs (Venocuff™, Imthage Bio-Research Analysis Facility, NSW, Australia), polyethylene terephthalate, and thermomechanically expanded PTFE have been developed 6–9. We have used PTFE-covered nitinol frames (Gore and Associates, Inc.) for a long period of time and have not encountered any allergic reaction to the implanted material.…”

Bildgebung zur präoperativen Abklärung bei Varikose der unteren Extremität

“…Sie verglichen bei 32 Patienten die Ergebnisse beider Methoden mit dem klinischen Schweregrad der CVI. Es fanden sich in der deszen-Therapie Die Therapie der Wahl bei einer Stammvarikose des oberflächlichen Venensystems besteht heute unbestritten in Krossektomie und Stripping des varikösen Stammes mit Ligatur aller weiteren insuffizienten Perforantes [4,18]. Lediglich bei der Beurteilung einer Klappeninsuffizienz im tiefen Venensystem ist die deszendierende Phlebographie der FCDS überlegen.Von Masuda et al [13] wurde untersucht, welche Refluxdauer, gemessen mit der FCDS bei einer mit der deszendierenden Phlebographie nachgewiesenen Klappeninsuffizienz zu beobachten ist.…”