[Surgical therapy of venous circulatory disorders]

After a short historical review of the operative methods concerning the varicotomy some principles of the modern varicotomy were pointed out which should be noticed in case of a so-called "standard operating technique". In accordance with the opinion of most of the authors it has turned out that the insufficient main trunk varices together with eventually occurring dobbled cords of veins should be extracted, whereby in the area of orifice of the long saphenous vein (venae saphena magna) all side branch veins are ligated after proper preparation. Larger side branches have to be post-sclerosed or interrupted by stab incision. The perforator vein (venae perforantes) in the area of the Cockett group (communicantes) and the arcade veins must not be neglected, otherwise real recidivation could be the result. Furthermore it is evident for the operation that the number of incisions has to be kept as minor as possible and even the length of incision should be reduced to a minimum, for short incisions normally heal up without any scars. The performance of such a satisfying cosmetic surgery is absolutely conditioned by corresponding instrument.