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Vein stripping is a surgical procedure done under general or local anaesthetic to aid in the treatment of varicose veins and other manifestations of chronic venous disease. The vein "stripped" (pulled out from under the skin using minimal incisions) is usually the great saphenous vein .
The small saphenous vein may become varicose. [4] In 20% of cases, this is associated with chronic venous insufficiency . [ 5 ] Vein stripping is an effective treatment.
A study by Kanter and Thibault in 1996 reported a 76% success rate at 24 months in treating saphenofemoral junction and great saphenous vein incompetence with STS 3% solution. [4] Padbury and Benveniste [5] found that ultrasound guided sclerotherapy was effective in controlling reflux in the small saphenous vein. Barrett et al. found that ...
With this method, the long saphenous vein is preserved. Cryosurgery – A cryoprobe is passed down the long saphenous vein following saphenofemoral ligation. The probe is then cooled with NO 2 or CO 2 to −85°F. The vein freezes to the probe and can be retrogradely stripped after 5 seconds of freezing. It is a variant of stripping.
The great saphenous vein is exposed and the common femoral and subsartorial veins are identified before dividing. The vein is ligated close to the junction with of the femoral vein. [3] If the ligation is distal from the saphenofemoral junction, it will leave out small tributaries which may later cause recurrence of varicosities.
The vein can be identified near the saphenous ostium by a typical ultrasonographic image the so-called Mickey mouse sign (the 2 ears will be the GSV and the ASV, the head is the common femoral vein). When the ultrasonography is performed, we can see it running across the anterior face of the thigh in a plan outside the femoral vessels, the GSV ...
Many physicians and vein specialists recommend wearing compression stockings after varicose vein stripping, but studies show that wearing an elastic compression stocking has no additional benefit after the application of elastic bandaging for three days in post-operative care following the stripping of the great saphenous vein as assessed by ...
The varying wavelength each aim to maximize local damage to a component of the varicose vein or the blood contained in it while minimizing damage to adjacent tissues. During the procedure, a catheter bearing a laser fiber is inserted under ultrasound guidance into the great saphenous vein (GSV) or small saphenous vein (SSV) through a small ...