Sadick N S, Schanzer H
Department of Dermatology, Cornell University Medical College, New York, New York, USA.
Dermatol Surg. 1998 Apr;24(4):475-9. doi: 10.1111/j.1524-4725.1998.tb04191.x.
In recent years, the transition from radical surgery for the treatment of primary varicose veins has been modified from the previously described high ligation with complete stripping of the greater or lesser saphenous vein.
The purpose of the herewith-described technique is to present a less invasive technique that incorporates saphenofemoral ligation with hook avulsion of branch varicosities.
Sapheno-femoral ligation with hook avulsion of branch varicosities is carried out under local anesthesia utilizing the tumescent technique with dissection, ligation, and division of the greater saphenous vein and its tributaries. The hook avulsion procedure removes residual diseased venous segments.
Patients treated by this combined ligation-hook avulsion approach achieve excellent functional and clinical results associated with a minimal side effect profile.
Combined flush sapheno-femoral ligation of normal saphenous veins (< 8 mm in diameter) and hook avulsion of branch tributaries produces excellent functional and cosmetic results with minimal morbidity.
近年来，原发性静脉曲张治疗从根治性手术的转变，已从先前描述的大隐静脉或小隐静脉高位结扎并完全剥脱术得到改进。
本文所述技术的目的是提出一种侵入性较小的技术，该技术包括大隐静脉股部结扎术以及分支静脉曲张的钩除撕脱术。
在局部麻醉下，采用肿胀技术，通过解剖、结扎和切断大隐静脉及其属支，进行大隐静脉股部结扎术以及分支静脉曲张的钩除撕脱术。钩除撕脱术可去除残留的病变静脉段。
采用这种联合结扎 - 钩除撕脱方法治疗的患者，获得了良好的功能和临床效果，且副作用最小。
正常大隐静脉（直径<8mm）的联合高位大隐静脉股部结扎术以及分支属支的钩除撕脱术，能产生良好的功能和美容效果，且发病率最低。
