[Saphenectomy by invagination over thread under local anesthesia (modified J. van der Stricht technic)]

The indications of classic stripping have decreased, in the past few years, because of the patients' reluctance for this type of treatment. These legitimate worries have encouraged the recent development of a new simple surgical techniques, using local anesthesia, and often unfortunately at the expense of effectiveness. This is especially true in case of essential varicose veins with valvular incompetency. The saphenectomy by invagination over thread, described by J. van der Stricht in 1962, combines a specific technical procedures (invagination) and systematic use of local anesthesia. This original concept in the surgical treatment of varicose veins responds very well, nowadays, to our concerns for effectiveness, safety, comfort and savings. The atraumatic nature of this procedure allows us to slightly modify the technic of local anesthesia which may be only be outlined along the saphenous vein.