Moderne Crossektomie Schritt für Schritt

Die moderne Crossektomie der V. saphena magna stellt ein sicheres und effektives Verfahren zur Behandlung der Stammvarikose dar. Die Qualität der Operationstechnik ist maßgebend für einen langfristigen Therapieerfolg. Wesentliche Merkmale sind: Operieren in Tumeszenz-Lokalanästhesie und Techniken zur Rezidivprophylaxe. Unter Einbeziehung aller relevanten Aspekte wird die moderne Operation der V. saphena magna Schritt für Schritt beschrieben.

Abstract

Besides the development of new minimal invasive approaches, such as endovenous laser and radiofrequency ablation procedures, the so-called modern surgery with flush ligation and stripping represents a secure and at least equally effective treatment option for great saphenous vein incompetence. For long-term success, some details of the surgical technique are decisive to prevent recurrent saphenofemoral incompetence: precise sonographic examination for a correct diagnosis, exact preoperative mapping of the vein courses for orientation and exactly performed surgical procedure, surgery in tumescent local anesthesia and the use of certain surgical items such as suturing the cross stump and closing the cribriform fascia. Involving all relevant aspects this article describes the surgical procedure of modern crossectomy and stripping of the great saphenous vein step by step.

Schlüsselwörter

Crossektomie - Stripping - V. saphena magna - Tumeszenz-Lokalanästhesie - Rezidivprophylaxe - Operationstechnik

Keywords

high ligation - flush ligation - crossectomy - stripping - great saphenous vein - tumescent local anesthesia - recurrence prophylaxis - surgical technique

Publication History

Article published online:
30 August 2024

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