Die Varikosis der unteren Extremität stellt eine häufige Erkrankung dar, die zu Ödemen,
trophischen Störungen und Ulzerationen der Haut führen kann. In den letzten 15 Jahren
haben sich neben dem klassischen operativen Verfahren der Krossektomie mit Stripping
der Stammvene zunehmend minimalinvasive endoluminale Behandlungsverfahren etabliert,
sodass dem modernen Phlebologen nun ein bunter Strauß an Prozeduren zur Verfügung
steht. Es gilt, daraus für jeden Patienten die individuell optimale Behandlungsoption
zu wählen.
Modern Treatment Procedures of Varicosis of the Leg
The varicosis of the leg is one of the most frequent diseases of western countries
causing oedema, trophic disturbances and ulcer of the skin. Patients’ quality of life
is significantly reduced. Conservative treatment options e. g. compression, special
medication and physical measures are still effective, but are only resolutely and
sufficiently used in the minority of patients. The standard operative treatment is
the crossectomy and stripping technique. In recent years competing minimal-invasive
operative techniques have been developed that offer comparable long-term results with
less invasiveness. Basically, these procedures are the radiofrequency ablation, the
endovenous laser ablation and the sclerotherapy. Therefore, nowadays it is necessary
to choose the optimal treatment procedure for every individual patient.
Schlüsselwörter Varikose - untere Extremität - Gefäßchirurgie - Venerologie - Phlebologie - Varize
- Krampfader
Keywords varicosis of the leg - crossectomy and stripping - radiofrequency and endovenous laser
ablation - sclerotherapy
