New Method of Flush Saphenofemoral Ligation that is Expected to Inhibit Varicose Vein Recurrence in the Groin: Flush Ligation Using the Avulsion Technique Method
New Method of Flush Saphenofemoral Ligation that is Expected to Inhibit Varicose Vein Recurrence in the Groin: Flush Ligation Using the Avulsion Technique Method
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DOI：
10.3400/avd.oa.18-00086
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发表时间：
2018-01-01
影响因子：
0.8
通讯作者：
Takahashi, Yoshifumi
中科院分区：
文献类型：
--
作者：
Kokubo, Masaki;Nozaka, Tetsuya;Takahashi, Yoshifumi
最近，随着激光消融治疗的普及，人们对大隐静脉（GSV）的冲洗结扎是否能减少手术后静脉曲张复发提出了质疑。由于我们认为这种复发是由于分支切除区域狭窄引起的，我们开发了一种新的冲洗结扎方法（撕脱术法）。材料与方法：对180例GSV静脉曲张患者214条肢体进行研究。在我们的手术中，我们解剖GSV，抬起其近端残端，并暴露其支流。我们尽可能不结扎地拔出远端分支。我们在术后第三天目测腹股沟切口半径15厘米内皮下瘀斑面积。结果：我们能够拔出超过10厘米每支通过这种方法。皮下瘀斑面积多小于10%。术后无血肿、疼痛。结论：该方法安全，皮下淤斑极少发生。我们期望这种方法可以减少术后隐股交界处的复发。
Recently, with the spread of laser ablation therapy, it has been called into question whether flush ligation of the great saphenous vein (GSV) reduces varicose vein recurrence after surgery. Because we thought such recurrence was caused by a narrow branch resection area, we developed a new method of flush ligation (the avulsion technique method). Materials and Methods: A total of 214 limbs in 180 patients whose GSV had become varicose were studied. In our procedure, we dissect the GSV, lift its proximal stump, and expose the tributaries. We pull out the distal side of the tributaries without ligature as far as possible. We evaluate the area of subcutaneous ecchymosis within a 15-cm radius of the inguinal incision visually on the third post-operative day. Results: We were able to pull out over 10cm per branch by this method. The area of subcutaneous ecchymosis was mostly less than 10%. No hematoma or pain was observed after the operation. Conclusion: This method was safe, with subcutaneous ecchymosis occurring only rarely. We expect this method to reduce saphenofemoral junction recurrence after the operation.