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A conflict in vascular surgery
The Australian and New Zealand Journal of Surgery
|August 1, 1985
Summary
This study suggests a new surgical technique for varicose veins that preserves valuable leg veins for potential arterial grafts. The stab-avulsion method shows promising results with a 10% recurrence rate over three years.
Area of Science:
- Vascular Surgery
- Phlebology
Background:
- Traditional varicose vein stripping may sacrifice major leg veins.
- These sacrificed veins could be valuable for arterial grafting.
- Current methods may lead to unnecessary vein removal.
Purpose of the Study:
- To propose an alternative surgical protocol for varicose veins.
- To preserve major leg veins for potential arterial grafts.
- To evaluate the efficacy of the proposed technique.
Main Methods:
- Replaced vein stripping with the stab-avulsion technique.
- Ensured removal of all varices and controlled incompetent perforators.
- Enabled selective ligation of incompetent proximal valves only.
Main Results:
- The proposed protocol effectively treats varicose veins.
- Undamaged veins are preserved for potential future use.
- A 3-year recurrence rate of approximately 10% was observed.
Conclusions:
- The stab-avulsion technique offers an effective alternative to stripping.
- Preservation of major leg veins is a key advantage.
- Improved results are anticipated with the availability of Doppler equipment.