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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 surgery involves making incisions (usually the groin ...
Desgranges in 1854 cured 16 cases of varicose veins by injecting iodine and tannin into the veins. [7] This was approximately 12 years after the probable advent of great saphenous vein stripping in 1844 by Madelung. [8] However, due to high rates of side-effects with the drugs used at the time, sclerotherapy had been practically abandoned by ...
One study found that with CHIVA, recurrences was 18% rather than 35% with high ligation and stripping after 10 years follow-up. [3] Patient symptoms at 10 years, however, did not differ. [3] The CHIVA and the stripping methods are equivalent regarding recurrence of varicose veins, but the CHIVA method may slightly reduce nerve injury and hematoma.
Most cases of CVI can be improved with treatments to the superficial venous system or stenting the deep system. Varicose veins, for example, can now be treated by local anesthetic endovenous surgery. Rates of CVI are higher in women than in men. [4] [5] Other risk factors include genetics, smoking, obesity, pregnancy, and prolonged standing. [6]
The Australian Medical Services Advisory Committee (MSAC) in 2008 has determined that endovenous laser treatment for varicose veins "appears to be more effective in the short term, and at least as effective overall, as the comparative procedure of junction ligation and vein stripping for the treatment of varicose veins."
In the legs, bypass grafting is used to treat peripheral vascular disease, acute limb ischemia, aneurysms and trauma.While there are many anatomical arrangements for vascular bypass grafts in the lower extremities depending on the location of the disease, the principle is the same: to restore blood flow to an area without normal flow.
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