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Phlebology 2009;24:34-41
doi:10.1258/phleb.2009.09s004
© 2009 Royal Society of Medicine Press

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Original Articles

Standard varicose vein surgery

J M T Perkins 

The John Radcliffe Hospital, Headington, Oxford, UK

Correspondence: J M T Perkins MBChB FRCS MD, Consultant Vascular Surgeon, The John Radcliffe Hospital, Headington, Oxford OX3 9DU, UK. Email: Jeremy.perkins{at}orh.nhs.uk

Abstract

This article examines the practice of standard varicose vein surgery including sapheno-femoral and sapheno-popliteal ligation, perforator surgery and surgery for recurrent varicose veins. The technique of exposure of the sapheno-femoral junction and the sapheno-popliteal junction is outlined and advice given on avoidance of complications for both. The evidence regarding methods of closure over the ligated sapheno-femoral junction is examined as is the requirement for stripping and the use of different types of stripper. The requirement to strip the small saphenous vein and the extent of dissection necessary in the popliteal fossa is also examined. Complications of standard varicose vein surgery are outlined. The frequency of wound infection, nerve injury, vascular injury and venous thromboembolism are listed and strategies to avoid these complications are examined.

Key Words: varicose veins • great saphenous vein • small saphenous vein • complications • recurrence • venous intervention project


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This article has been cited by other articles:


Home page
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D Berridge, T Lees, and J J Earnshaw
The VEnous INtervention (VEIN) Project
Phlebology, April 1, 2009; 24(suppl_1): 1 - 2.
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