Yoh Tomoaki, Okamura Ryuji, Nakamura Yuya, Kobayashi Atsushi
Department of Surgery, Yamatotakada Municipal Hospital, Yamatotakada, Nara, Japan.
Ann Vasc Dis. 2014;7(2):195-8. doi: 10.3400/avd.hdi.14-00030. Epub 2014 May 16.
We performed divided saphenectomy (DS) for varicose vein in ambulatory surgery with minimal incisions. Under tumescent local anesthesia, this procedure ligates all perforators in the thigh, preserving a route of venous drainage, and reduces bruising by ligating all tributaries. Also, DS does not need any special surgical instrument. Subcutaneous inguinal hemorrhage was observed in 4.9% (3/61), mild bruises were observed in 19.7% (12/61), and saphenous nerve neuralgia was 1.6% (1/61). Wound infection, deep venous thrombosis, and edema were not observed. DS is a minimally invasive, simple, and cost-effective procedure.
我们在门诊手术中采用小切口进行大隐静脉分段切除术（DS）治疗静脉曲张。在肿胀局麻下，该手术结扎大腿部所有穿支静脉，保留静脉引流途径，并通过结扎所有属支减少瘀斑。此外，DS不需要任何特殊手术器械。观察到4.9%（3/61）的患者出现皮下腹股沟出血，19.7%（12/61）的患者出现轻度瘀斑，隐神经神经痛发生率为1.6%（1/61）。未观察到伤口感染、深静脉血栓形成及水肿。DS是一种微创、简单且经济有效的手术。
