Also, if the deep vein system is damaged, surgery may make problems with blood flow in the veins worse. Varicose vein surgery has the same risks associated with general surgery, including infection, bleeding, and anesthesia risks. If the largest vein in the leg great saphenous vein, or GSV is stripped below the knee, numbness may result due to nerve injury. If you are thinking of ligation and stripping, consider some questions to ask about varicose vein treatment. For example, you may want to ask how much the examination and treatment cost.
In the past there was concern about removing the great saphenous vein, because this vein is often used as a replacement or graft for an artery in the heart when a person has bypass surgery. Doctors now believe that there is no reason not to strip the GSV in the leg if needed.
If the vein is badly damaged, it will not work as a vein graft anyway. In most cases a blood vessel from the chest mammary artery can be used during heart bypass surgery instead of the GSV. If necessary, arm veins can be used. Vein stripping surgery is seldom done for people who have chronic venous insufficiency CVI resulting from deep vein problems and who also have varicose veins.
Removing varicose veins close to the surface of the skin superficial varicose veins may cause problems if the deep leg veins are also damaged.
If you are considering this surgery, get an opinion from a vascular specialist. Szalay MD - Vascular Surgery. Author: Healthwise Staff. Medical Review: E. Vein stripping is used to remove or tie off a large vein in the leg called the superficial saphenous vein. This helps treat varicose veins. Today, doctors are rarely performing vein stripping surgeries because there are newer, non-surgical ways to treat varicose veins that don't require general anesthesia and are done without an overnight hospital stay.
These treatments are less painful, have better results, and have a much faster recovery time. Your legs will be wrapped with bandages to control swelling and bleeding for 3 to 5 days after surgery. You may need to keep them wrapped for several weeks.
Surgical vein stripping reduces pain and improves the appearance of your leg. Rarely, vein stripping causes scars. Mild leg swelling can occur. Be sure you regularly wear compression stockings. Vein stripping with ligation; Vein stripping with avulsion; Vein stripping with ablation; Vein ligation and stripping; Vein surgery; Venous insufficiency - vein stripping; Venous reflux - vein stripping; Venous ulcer - veins.
Venous disease. Sabiston Textbook of Surgery. Philadelphia, PA: Elsevier; chap Some people want to get rid of varicose veins for just cosmetic reasons, but others decide to seek medical help due to aching pain and discomfort.
Painful symptoms include an achy or heavy feeling in the legs, itching around one or more veins, burning, throbbing, swelling, and hardening of the vein.
The traditional technique for surgical stripping is ligation and stripping of the great saphenous vein GSV , the long vein that extends from the anklebone along the inside of the leg and thigh and empties into the femoral vein in the groin. Ligation and stripping involves tying off the abnormal vein ligation and physically removing it stripping. Ligation and stripping are performed in a hospital setting or outpatient surgical center under local, spinal, or general anesthesia.
The surgeon makes a small incision in the groin to expose the diseased GSV, which is tied off. The surgeon then makes a series of incisions along the leg from the thigh to a point just below the knee. Using a specialized stripping tool that is inserted and threaded through the incisions, the surgeon strips out the diseased vein.
This technique involves inserting an instrument called a PIN stripper through a small incision in the leg. The stripper is advanced through the vein, its tip is sewn to the end of the vein, and the vein is pulled in on itself as it is stripped out of the leg. Vein ligation and stripping is a minor surgery. It is used to remove a damaged vein and prevent complications of vein damage. If several valves in a vein and the vein itself are heavily damaged, the vein or the diseased part of the vein is removed stripped.
An incision is made below the vein, a flexible instrument is threaded up the vein to the first incision, and the vein is grasped and removed. During this surgery, one or more incisions are made over the damaged veins, and the vein is tied off ligated.
If the ligation cuts off a faulty valve and the vein and valves below the faulty valve are healthy, the vein may be left in place to continue circulating blood through other veins that still have valves that work well.
0コメント