De Toma G, Gabriele R, Campli M, Sgarzini G, Pompa G, Mazzocconi G
G Chir. 1989 Nov;10(11):637-40.
The Authors report their experience of 256 stripping operations performed during the last 3 years for varicose veins of the lower extremities. Preoperative Doppler examination was used to detect reverse flow in the saphenous veins. Removal of the entire saphenous trunk was performed in 158 limbs with segmental or total reverse flow; in the remaining 98 cases with reflux only in the proximal tract of the saphenous vein a selective stripping operation and, five weeks later, phlebectomy of remaining varicosities were performed. The results were assessed by follow-up examination from 6 months to 3 years. When there is a specified indication, the selective stripping operation appears to be an excellent and aesthetic solution with a very low incidence of saphenous nerve's injuries. Useful advice to obtain the best results with the traditional stripping operation are also pointed out.
作者报告了他们在过去3年中对下肢静脉曲张进行的256例剥脱手术的经验。术前使用多普勒检查来检测隐静脉中的逆流情况。对158条存在节段性或完全逆流的肢体进行了整条隐静脉主干的切除；在其余98例仅隐静脉近端段存在反流的病例中，进行了选择性剥脱手术，5周后对剩余的静脉曲张进行了静脉切除术。通过6个月至3年的随访检查来评估结果。当有特定指征时，选择性剥脱手术似乎是一种极佳的、美观的解决方案，隐神经损伤发生率非常低。文中还指出了采用传统剥脱手术获得最佳效果的实用建议。
