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[Stripping of the external saphenous vein. Use of the Hall Chevallier stripper]
Insights
The Hall Chevallier stripper, designed for the great saphenous vein, effectively strips the small saphenous vein, even when access is difficult. This method offers a viable alternative for challenging external saphenous vein removal.
Area of Science:
- Vascular Surgery
- Surgical Instrumentation
Context:
- The small saphenous vein (SSV) presents unique challenges for surgical stripping due to its irregular caliber.
- Traditional methods for SSV stripping can be difficult and less effective.
Purpose:
- To evaluate the efficacy of the Hall Chevallier stripper, originally designed for the great saphenous vein, for the surgical stripping of the external saphenous vein.
- To assess the adaptability and success rate of this instrument in routine and exceptional cases.
Summary:
- The Hall Chevallier stripper was utilized in over 20 cases for external saphenous vein stripping.
- Key features making it suitable include its streamlined end, availability in various calibers, and rigidity.
- The stripper facilitates supra-inguinal access when the SSV is not accessible from below, such as post-sclerosis.
Impact:
- Demonstrates a practical and effective adaptation of existing surgical tools for challenging vascular procedures.
- Offers surgeons an alternative technique for external saphenous vein stripping, potentially improving outcomes in difficult cases.
- Highlights the versatility of the Hall Chevallier stripper beyond its initial intended application.
Abstract:
In more than 20 cases we used the Hall Chevallier stripper (initially devised to remove the valves of the internal saphenous vein in femoro-popliteal bypass) for stripping of the external saphenous vein. This routine procedure is not always easy to perform, owing to the irregular caliber of that vessel. There are three reasons why we used this particular stripper for this unusual purpose: its end is streamlined; strippers of different calibers are available and the instrument is rigid. In those exceptional cases where the external saphenous vein is not accessible from below (e.g. notably after sclerosis), stripping can be carried out from above.