Hach W
William Harvey-Klinik, Bad Nauheim.
Langenbecks Arch Chir. 1988;Suppl 2:145-51.
Modern surgery of varicose veins depends on a differentiated diagnostics. The planning and the type of operation have to take the particular hemodynamics into consideration. The main prerequisites are early operation to prevent secondary popliteal and femoral vein insufficiency and, on the other hand, a restrained tissue-sparing technique in order to preserve transplantable vein segments. Paratibial fasciotomy is a low-risk and technically uncomplicated method for the treatment of severe chronic venous congestion.
现代静脉曲张手术依赖于差异化诊断。手术规划和类型必须考虑到特定的血流动力学情况。主要前提是早期手术以预防继发性腘静脉和股静脉功能不全,另一方面,采用有限的保留组织技术以保留可用于移植的静脉段。胫骨旁筋膜切开术是一种治疗严重慢性静脉淤血的低风险且技术上不复杂的方法。