Stripping involves removing the entire saphenous vein (large vein) fails, which extends from the ankle to groin or, more simply, it is to extract the superficial vein that have no more useful function. An incision at the ankle and the end portion of vein is performed; vein is sectioned at both ends (varicose veins Austin).
A flexible guide, also known as "stripper" is inserted into vein through the ankle so it comes out at the other end, in groin. An "olive" having a larger diameter than the vein is attached to bottom of stripper. When will descend thereof olive cause the vein to be thus removed from the leg.
However, stripping by invagination is more common. This method consists of returning the saphenous vein on itself, such as a glove, on a wire. This is less traumatic for the patient and thus limits postoperative hematoma. After stripping, small residual varices collaterals can be removed for a better aesthetic result. Tiny incisions is made by the surgeon through which the residual vein are extracted with a hook. This technique is called phlebectomy.
After the vein has been removed, the blood will continue to flow in leg as it borrow other vein located deeper into leg. The two members can be made the same day and the procedure takes 15 to 40 minutes per member. Venous insufficiency is a progressive disease. Therefore, even if a varices vein that has been properly removed can not return, other vein can become varices. Therefore, regular monitoring of venous system is important in order to avoid the appearance of new varices vein.
Complications can be deep phlebitis (5.3%) 12, a pulmonary embolism (0.06%), a level of complication as wound infection (2.2%), nerve damage with residual anesthetic at ankle. The recurrence rate is 5-60% at 10 years according to studies. It is also noteworthy that this surgery removes the saphenous trunks that may be useful in future if the patient needs a coronary artery bypass or members, as the saphenous trunks, even among the carrier about varices vein.
The CHIVA stands cure "Conservative and Hemodynamics of Venous Insufficiency in Ambulatory" 14.15. The operation consists in one to four small incisions on average, under local anesthesia, to remove ligatures by specific abnormal blood flow due to valvular incontinence and responsible for the varices dilatation of veins. The patient goes home the same day. This method tends to correct venous function in order to cure the symptoms of venous insufficiency such as varices vein, edema.
If it is known as varices vein will gradually dilated by the normal tissue drainage that can not borrow the destroyed vein (not conservative methods: stripping, phlebectomy, laser, radiofrequency sclerosis, etc.), we understand why the cure Chiva, respectful vein and drainage, is followed by recurrence 2 to 5 times less frequent after stripping after ten.
The method preserves venous capital that will be useful in case of need for coronary artery bypass or members, probability that increases with the aging of population. They allow the destruction of vein, after puncture of latter, by different methods: laser, steam, ... Sclerotherapy Endovenous laser treatment or radiofrequency are less aggressive techniques and postoperative less painful.
A flexible guide, also known as "stripper" is inserted into vein through the ankle so it comes out at the other end, in groin. An "olive" having a larger diameter than the vein is attached to bottom of stripper. When will descend thereof olive cause the vein to be thus removed from the leg.
However, stripping by invagination is more common. This method consists of returning the saphenous vein on itself, such as a glove, on a wire. This is less traumatic for the patient and thus limits postoperative hematoma. After stripping, small residual varices collaterals can be removed for a better aesthetic result. Tiny incisions is made by the surgeon through which the residual vein are extracted with a hook. This technique is called phlebectomy.
After the vein has been removed, the blood will continue to flow in leg as it borrow other vein located deeper into leg. The two members can be made the same day and the procedure takes 15 to 40 minutes per member. Venous insufficiency is a progressive disease. Therefore, even if a varices vein that has been properly removed can not return, other vein can become varices. Therefore, regular monitoring of venous system is important in order to avoid the appearance of new varices vein.
Complications can be deep phlebitis (5.3%) 12, a pulmonary embolism (0.06%), a level of complication as wound infection (2.2%), nerve damage with residual anesthetic at ankle. The recurrence rate is 5-60% at 10 years according to studies. It is also noteworthy that this surgery removes the saphenous trunks that may be useful in future if the patient needs a coronary artery bypass or members, as the saphenous trunks, even among the carrier about varices vein.
The CHIVA stands cure "Conservative and Hemodynamics of Venous Insufficiency in Ambulatory" 14.15. The operation consists in one to four small incisions on average, under local anesthesia, to remove ligatures by specific abnormal blood flow due to valvular incontinence and responsible for the varices dilatation of veins. The patient goes home the same day. This method tends to correct venous function in order to cure the symptoms of venous insufficiency such as varices vein, edema.
If it is known as varices vein will gradually dilated by the normal tissue drainage that can not borrow the destroyed vein (not conservative methods: stripping, phlebectomy, laser, radiofrequency sclerosis, etc.), we understand why the cure Chiva, respectful vein and drainage, is followed by recurrence 2 to 5 times less frequent after stripping after ten.
The method preserves venous capital that will be useful in case of need for coronary artery bypass or members, probability that increases with the aging of population. They allow the destruction of vein, after puncture of latter, by different methods: laser, steam, ... Sclerotherapy Endovenous laser treatment or radiofrequency are less aggressive techniques and postoperative less painful.
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