Yanar Fatih, Sal Oguzhan, Sengun Berke, Emek Ertan, Azamat Ibrahim Fethi, Avlanmis Omer, Genc Fatih Ata
Department of General Surgery, Istanbul University, Istanbul Faculty of Medicine, Istanbul, Türkiye.
Department of General Surgery, Medicana Bahcelievler Hospital, Istanbul, Türkiye.
Sisli Etfal Hastan Tip Bul. 2025 Mar 18;59(1):134-137. doi: 10.14744/SEMB.2024.01205. eCollection 2025.
Congenital morphological disorders of the vascular bed, especially located on the main arteries and veins of the extremities, can cause chronic venous insufficiency and venous claudication, creating exacerbated symptoms for the patient and which require intervention. In cases where interventional radiology is insufficient, surgical approaches should be prioritized. Sixty-five years old male patient admitted to our clinic with increased bilateral lower extremity swelling which revealed to be chronic venous insufficiency secondary to congenital disorders. Sapheno-femoral veno-venous bypass (Palma operation) was performed, and patient was discharged on post-operative day 15 without further complaints. Palma Operation is an effective surgical treatment option in venous malformations of lower extremity where interventional radiology is not sufficient.
血管床的先天性形态学疾病，尤其是位于四肢主要动静脉的疾病，可导致慢性静脉功能不全和静脉性跛行，给患者带来加剧的症状，需要进行干预。在介入放射学方法不足的情况下，应优先考虑手术方法。一名65岁男性患者因双侧下肢肿胀加重入住我院，检查发现是先天性疾病继发的慢性静脉功能不全。进行了大隐静脉-股静脉静脉旁路手术（帕尔马手术），患者术后第15天出院，无进一步不适主诉。帕尔马手术是介入放射学方法不足时治疗下肢静脉畸形的一种有效手术选择。
