[The saphenous system. Medial approach to the arterial axis of the lower limb]

It is possible, by means of a continuous succession of incisions, transferred onto the course of the long saphenous vein, to approach all the vascular trunks in the lower limb, from the area of the femoral triangle, to the lower third of the leg. Two original approaches are described: by way of the deep distal femoral artery, or perforator trunk, which has the chief advantage of enabling the practitioner to operate away from the inguinal ganglions; and the transmembranous approach via the anterior tibial artery in the middle third of the leg, with the object of implanting the long saphenous vein without diverting its course.