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SURGICAL TREATMENT OF TRUNCAL VEINS Stephen F. Daugherty, MD, FACS, RVT, RPhS.
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Transcript of SURGICAL TREATMENT OF TRUNCAL VEINS Stephen F. Daugherty, MD, FACS, RVT, RPhS.
SURGICAL TREATMENT OF TRUNCAL VEINS
Stephen F. Daugherty, MD, FACS, RVT, RPhS
SAPHENOUS VEIN STRIPPINGDESCRIBED IN 1905-1907 BY:
William Keller
Charles Mayo
Stephen Babcock
Rose, Sidney S. Historical Development of Varicose Vein Surgery in Varicose Veins and Telangiectasias, ed. Bergan and Goldman, Quality Medical Publishing; 1993: pp123-147.
“…many believe that the operation (saphenous vein stripping) is probably obsolete.”
Bergan, John J. in Rutherford’s Vascular Surgery, 6th ed; 2005: p2258.
SURGICAL OPTIONS
- Open Excision
- Saphenous Vein Ligation
- Ankle-to-Groin Saphenous Stripping
- Segmental Saphenous Stripping
All of the above often were combined with phlebectomy.
The Craft of Surgery, Philip Cooper, ed., 1965
PROBLEMS WITH VEIN LIGATION
FREQUENT EARLY FAILURE DUE TO COLLATERAL INCOMPETENT VEINS
NEOVASCULARIZATION DUE TO GROIN DISSECTION
Rutherford Vascular Surgery, 6th ed., 2005
PROBLEMS WITH ANKLE-TO-GROIN
STRIPPINGSAPHENOUS NERVE INJURY
STRIPPING CALF OFTEN IS UNNECESSARY
INTRAOPERATIVE BLEEDING
HEMATOMA CAUSING PAIN
A Regional Atlas of the Human Body, Carmine Clemente, 1975
PROBLEMS WITH SMALL SAPHENOUS VEIN
STRIPPINGSURAL NERVE INJURY
VARIABLE LOCATION OF TERMINATION OF SMALLL SAPHENOUS VEIN
A Regional Atlas of the Human Body, Carmine Clemente, 1975
IMPROVEMENTS IN SEGMENTAL
SAPHENOUS VEIN STRIPPING- STRIP KNEE-TO-GROIN ONLY
- ULTRASOUND IMAGING FOR PASSAGE OF STRIPPER AND HOOK RETRIEVAL OF LARGE TRIBUTARY VEINS FOR LIGATION AND DIVISION- OESCH PERFORATE-INVAGINATE (PIN) STRIPPING DESCRIBED IN 1993. Goren, G., Yellin, AE, JVS 1994; 20:970-977.
WHEN TO CONSIDEROPEN SURGERY?
LARGE, COMPLICATED VENOUS ANEURYSM NEAR THE SFJ
HIGH LIGATION COMBINED WITH- PIN STRIPPING- ENDOVENOUS THERMAL
ABLATIONFOAM SCLEROTHERAPY
VERY SUPERFICIAL LONG TRUNCAL VEIN