[Esthetic saphenectomy]

Esthetic saphenectomy, called "Gévaudanaise", allows removal of the internal saphena from its crook to the knee without contraincision or puncture of the leg. Perivenous dissection always removes the three tunicae of the wall. The steel cord of the excising instrument cuts the saphena at the knee without cutaneous perforation. Surgery is performed under ambulant conditions with local anesthetic, and combines esthetic considerations with decreased anesthetic and thromboembolic risk.