Phlebologie 2019; 48(01): 23-31
DOI: 10.1055/a-0806-8349
© Georg Thieme Verlag KG Stuttgart · New York

Surgery of small saphenous vein – endoluminal or open surgical procedure

Article in several languages: deutsch | English
Dietmar Stenger
1   Venenzentrum Saarlouis
Michael Hartmann
2   Venenzentrum Freiburg
› Author Affiliations
Further Information

Publication History

26 September 2018

26 November 2018

Publication Date:
19 February 2019 (online)


There exists, hitherto, no unifying standard for the surgical or endovenous treatment of small saphenous vein incompetence. Thus, a direct comparability of these two treatment modalities has been, so far, restricted. Particularly, differing definitions of recurrent small saphenous vein incompetence impede this comparability. There is a lack of prospective randomised studies of long term results. On account of this scanty data, a basic recommendation for or against one treatment option or the other is currently not possible. However, in daily practice, there are significant advantages for both, the surgical as well as endovenous therapies, even without the corresponding comparative studies. The recurrence rates are high among both approaches. A complete removal of the pathologically altered vein is, nonetheless, undertaken during neither surgical nor endovenous therapy. The extent to which a complete removal of the sapheno-popliteal junction, with implementation of the crossectomy (or high ligation) principle, can contribute to the amelioration of outcomes should be clarified by future studies.

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