大隐静脉高位结扎加分段剥脱术-外科之路（The great saphenous vein high ligation and stripping section surgical way）.docVIP

大隐静脉高位结扎加分段剥脱术-外科之路（The great saphenous vein high ligation and stripping section surgical way） Great saphenous vein high ligation plus segmental stripping - surgical approach.Txt human and human hearts are the closest and most distant, and sincerity is the middle passage. Can fire assay, a woman may try to use gold, men may try to use a woman -- often can not stand it a try. Comrades in arms said that the great saphenous vein, frankly, in recent years to do less, after all, there are specialized vascular! Only close acquaintance will do it. But in order to provide more choices for you, or to say may have old experience, for reference only! High ligation and segmental stripping of great saphenous vein First of all, great saphenous vein ligation and stripping is suitable for simple varicose veins. In addition to understanding the venous system of the lower extremity, preoperative venography should also indicate the abnormal communicating branches of the valve so as to be treated in operation. High ligation and segmental stripping of great saphenous vein 1, belong to branch Hiatus saphenus near 5 branches to identify the ligation, there should be no doubt. Generally no distal thigh branches, in fact the lower 1/3 has a deep vein and perforator adductor canal traffic. There were mainly the anterior and posterior arcuate veins in the knee plane. The main effect on the operation is to lead the top-down stripper astray and deviate from the main stem. In addition, because they have communicating branches with the saphenous vein, not the terminal vein, the depth of free ligation is often poorly controlled. High ligation and segmental stripping of great saphenous vein 2. Venous valve There are 9~10 valves in the great saphenous vein, the lower part of the valve is more, and the valve is mostly double flap, which can block the top down stripper. High ligation and segmental stripping of great saphenous vein Upper incision and great saphenous vein reveal A longitudinal incision