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
