Saphena dissection at the inner malleolus.

Introduction of the phleboextractor in malleolar saphena. Whenever we can, we introduce the phleboextractor in the same direction of the venous valves. We extract it through the inguinal incision and we place the header.

 The saphena is extracted through the malleolar incision.

It is proved that the vein is completely extracted.

There are no severe complications, although there are a few cases of inguinal seroma. Hematomas proper of interventions are not considered a complication. The average days of absence of work in patients in age to work was 21 years old.

Conclusions.

Saphenectomy has the 5th place among the 25th most frequent procedures of our service. it is accepted as a programmed intervention in the General Surgery Services from town hospitals where there is no Vascular Surgery. We coincide with the rest of the publications when they highlight that it is twice more frequent in women than in men, and that more than half the population operated on had more than 50 years old.

The technique used par excellence was the classic saphenectomy, and the irrelevant complications. The average of operated on varicose veins per year has been 60. The satisfaction level of the patines which was measured by other surveys has been very good.

Acknowledgements.

We thank the collaboration of the Valencian Institute of Statistics and the clinical documentation service from our hospital.

Bibliography.

1.- Mayo CH. Varicose veins of the lower extremity. St Paul Med J 1900;2:595. Babcock W. A new operation for the extirpation of varicose veins of the leg. St Paul Med J 1907;86:153-4.

2.- Homans J. The etiology and treatment of varicose veins and ulcers based upon a classification of these lesions. Surg Gynecol Obstet 1917;24:300-5.

3.- Díaz Gómez F, Castells Ferrer P, Recio Valenzuela E, García Armengol J, Fernández Martínez C, Roig Vila JV. Estudio comparativo entre la flebografía poplítea dinámica y el Eco-Doppler en color en el diagnóstico de la insuficiencia venosa en el hueco poplíteo. Cir Esp 1998; 63: 373-377.

4.- Benabou JE, Molnar LJ, Cerri GG. Duplex sonographic avaluation of the sapheno-femoral venous junction in patients with recurrent varicose veins after surgical tretment. J Clin Ultrasound 1998; 26: 401-404.

5.- Babcock W. A new operation for the extirpation of varicose veins of the leg. St Paul Med J 1907;86:153-4.

Translation: Sabrina Gisella Cordone. Más información en http://www.portalesmedicos.com/traductores-medicina/cordone/