Vadalà G, Buffone A, Basile G, Calcamo A, Taranto S, Vadalà V
Clinica Chirurgica di Pronto Soccorso, Università degli Studi di Catania.
Minerva Chir. 1990 Oct 15;45(19):1243-6.
Postphlebitic syndrome of the lower limbs is a consequence of chronic varices or the outcome of TVP leading to edema, eczema, stasis ulcers, etc. In these cases surgical treatment takes the form of ligating the perforating varices using a subfascial route according to Linton's technique, together with stripping the great and small saphenous vein. There are cases, however, in which the extent of cutaneous involvement does not allow a "safety incision" to be made. Felder's operation, using posterior surgical aggression in that area of the skin which generally remains healthy, therefore allows an easier ligation of the perforating varices and quicker cutaneous healing.
下肢静脉炎后综合征是慢性静脉曲张的后果,或是下肢静脉瓣膜功能不全导致水肿、湿疹、淤积性溃疡等的结果。在这些情况下,手术治疗采用根据林顿技术经筋膜下途径结扎交通支静脉曲张,并同时剥脱大隐静脉和小隐静脉。然而,有些病例中皮肤受累范围不允许做“安全切口”。费尔德手术通过在通常保持健康的皮肤区域进行后方手术入路,因此能更轻松地结扎交通支静脉曲张并加快皮肤愈合。