[Comparative results of stripping under general anesthesia and under locoregional anesthesia (200 cases)]

A study showing the improved results of operations on varices performed under local anaesthetic was based on 100 complete files of operations on varicose veins including crossectomy, long invaginated stripping and superficial phlebectomies (type Muller) carried out in one operation under general anaesthetic, and 100 identical files of operations performed under local anaesthetic. The fact that the result is more comfortable under local anaesthetic is especially to lengths of hospitalization, which mean that day surgery is preferable in 80% of cases, and also to the length of time off work which, statistically, can be reduced by local anaesthetic. Finally, the study of anatomic sequelae (varicosities and post-operative neurological disorders) shows particularly that the development of varicosities during the operative period probably depends on oestroprogestative impregnation, and shows much more clearly that local anaesthetic facilitates the avoidance of lesion to the short saphenal nerve during the stripping, because of the pain signal triggered.