Psathakis N
Phlebologie. 1983 Jan-Mar;36(1):89-90.
The modified technique II of the substitute valve operation consist in using a 24 cm long silicone-tendon. Its medial end is sutured with the 3 cm long gracilis tendon, drawn between popliteal artery an vein, and its lateral end is sutured around the biceps tendon. The fixed length of the silicone-tendon and its gliding ability are two advantages, which simplify the operation. The efficacy of the substitute valve using the technique II is controlled clinically and phlebographically, whilst the amelioration of the venous haemodynamics ist documented additionally by means of the comparative venous pressure measurements before an after the operation. Before operation was Ps = 100,5 mmHg, Pg1 = 79,0 mmHg and delta P1 = 21,5 mmHg. After operation was Ps' = 99,3 mmHg, Pg' = 33,8 mmHg and delta P' = 65,5 mmHg.
替代瓣膜手术的改良技术II包括使用一根24厘米长的硅胶腱。其内侧端与3厘米长的股薄肌腱缝合,该肌腱从腘动脉和静脉之间引出,其外侧端围绕肱二头肌肌腱缝合。硅胶腱的固定长度及其滑动能力是两个优点,这简化了手术。采用技术II的替代瓣膜的疗效通过临床和静脉造影进行控制,同时通过手术前后的静脉压力比较测量额外记录静脉血流动力学的改善情况。术前Ps = 100.5 mmHg,Pg1 = 79.0 mmHg,ΔP1 = 21.5 mmHg。术后Ps' = 99.3 mmHg,Pg' = 33.8 mmHg,ΔP' = 65.5 mmHg。