Lasheen Ahmed E, Hefny Mohamad R, El Askry Salah M, Al Bakly Esam
Department of General Surgery, Faculty of Medicine, Zagazig University, Zagazig City 44519, Egypt.
Surg Today. 2004;34(12):1057-60. doi: 10.1007/s00595-004-2861-y.
The purpose of this study was to determine the effectiveness of minimally invasive surgical procedures for interrupting incompetent perforating veins of the lower limb. A closed subfascial ligation was performed in 20 patients who had incompetent perforating veins in 28 limbs as diagnosed by a clinical examination and duplex scanning. Two small transverse incisions measuring 5-10 mm in length were made on both sides of the incompetent perforating vein. Using an aneurysmal needle, a suture (polypropylene No. 1) was placed in the subfascial plane to encircle the incompetent perforating vein from all directions. Next, this suture was tied through two incisions to ligate this perforator. The mean follow-up period was 26 months. The ligation of the incompetent perforators was successful in 27 of 28 limbs and no wound complications were observed. A closed subfascial ligation of incompetent perforating veins of the lower limbs is thus considered to be easy to perform, not overly invasive, safe, and to also have very encouraging results.
本研究的目的是确定微创手术治疗下肢功能不全交通静脉的有效性。对20例经临床检查和双功超声扫描诊断为28条下肢存在功能不全交通静脉的患者进行了筋膜下闭合结扎术。在功能不全交通静脉两侧做两个长度为5 - 10毫米的小横向切口。使用动脉瘤针，将缝线（1号聚丙烯缝线）置于筋膜下平面，从各个方向环绕功能不全的交通静脉。接着，通过两个切口系紧该缝线以结扎此交通支。平均随访期为26个月。28条下肢中的27条交通支结扎成功，未观察到伤口并发症。因此，下肢功能不全交通静脉的筋膜下闭合结扎术被认为操作简便、创伤不大、安全，且效果非常令人鼓舞。
