Alonzo U, Ruffolo F, Leonardi L, Sadighi A, Garavello A
Divisione di Chirurgia Generale, Azienda Ospedaliera San Filippo Neri, Roma.
Minerva Cardioangiol. 1997 Apr;45(4):121-9.
Outpatient varicose veins surgery, "Phlébectomie Ambulatoire" (FA) introduced by R. Muller in 1966, is now a widespread technique; modified by many authors with personal tips, FA enables most lower limb varicosities to be treated on an outpatient basis and under local anaesthesia. To achieve good functional results, an accurate preoperative diagnostic examination is mandatory; the authors present a review of the indications of FA and their personal experience. Precision in performing micro-incisions, accurate dissection of the varicosities in the subcutaneous tissue and an adequate postoperative elastic bandage guarantee good aesthetic results. At present the treatment of Saphena magna with FA is debated, but some authors have already reported encouraging results.
门诊静脉曲张手术,即R. 米勒于1966年引入的“门诊静脉切除术”(FA),如今已成为一种广泛应用的技术;许多作者对其进行了改进并加入个人技巧,FA能够在门诊且在局部麻醉下治疗大多数下肢静脉曲张。为获得良好的功能效果,术前进行准确的诊断检查是必不可少的;作者介绍了FA的适应症及他们的个人经验。精确进行微小切口、准确剥离皮下组织中的曲张静脉以及术后使用足够的弹力绷带可保证良好的美学效果。目前,关于采用FA治疗大隐静脉存在争议,但已有一些作者报告了令人鼓舞的结果。