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Phlebologie 2020; 49(03): 152-162
DOI: 10.1055/a-1154-3322
Schwerpunktthema Crossenrezidive

Crossectomy (flush ligation) of small saphenous vein

Article in several languages: English | deutsch
Dietmar Stenger
1   Venenzentrum Saarlouis, Leiter Dr. med. E. Ugur
,
Michael Hartmann
2   Venenzentrum Freiburg, Leiter Dr. med. K. Hartmann und Dr. med. Iris Weingard
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Abstract

A correct crossectomy of the small saphenous vein, as stipulated by Hach and Mumme, is seldom carried out in literature. The two authors thoroughly describe the technical procedure of a high, flush ligation of the saphenopopliteal junction (SPJ). The risks and problems of the surgery are described and illustrated.

A retrospective cohort study with the aim of conducting a flat small saphenous crossectomy yielded the following findings in 187 operated legs: small saphenous remainder stumps with clinically relevant recurrence in 2.1 %, small saphenous neovasculature with clinically relevant recurrence in 1.1 %, junction stump or neovasculature without clinically relevant recurrence in 1.6 % of cases. In summation, the total amount of actual recurrences was 4.8 %.

Key words

small saphenous vein - saphenopopliteal junction - saphenopopliteal recurrence - junction anomalies

Schlüsselwörter

Vena saphena parva - Parvakrosse - Rezidivvarikose der V. saphena parva - Mündungsanomalien


Publication History

Article published online:
25 May 2020

© Georg Thieme Verlag KG
Stuttgart · New York

 

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