Die Chirurgie der Vena saphena parva – endoluminal oder
                    operativ

Dietmar Stenger; Michael Hartmann

doi:10.1055/a-0806-8349

Phlebologie, Inhaltsverzeichnis

Phlebologie 2019; 48(01): 23-31
DOI: 10.1055/a-0806-8349

Review

Surgery of small saphenous vein – endoluminal or open surgical procedure

Artikel in mehreren Sprachen: deutsch | English

Dietmar Stenger

¹Venenzentrum Saarlouis

,

Michael Hartmann

²Venenzentrum Freiburg

› Institutsangaben

Abstract

There exists, hitherto, no unifying standard for the surgical or endovenous treatment of small saphenous vein incompetence. Thus, a direct comparability of these two treatment modalities has been, so far, restricted. Particularly, differing definitions of recurrent small saphenous vein incompetence impede this comparability. There is a lack of prospective randomised studies of long term results. On account of this scanty data, a basic recommendation for or against one treatment option or the other is currently not possible. However, in daily practice, there are significant advantages for both, the surgical as well as endovenous therapies, even without the corresponding comparative studies. The recurrence rates are high among both approaches. A complete removal of the pathologically altered vein is, nonetheless, undertaken during neither surgical nor endovenous therapy. The extent to which a complete removal of the sapheno-popliteal junction, with implementation of the crossectomy (or high ligation) principle, can contribute to the amelioration of outcomes should be clarified by future studies.

Key words

Small saphenous vein incompetence - sapheno-popliteal junction - crossectomy

Volltext

Referenzen

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