Synonym(s)
Crossectomy
DefinitionThis section has been translated automatically.
Surgical removal of the mesentery of the vena saphena magna (magna crossectomy).
ImplementationThis section has been translated automatically.
- 4-6 cm long skin incision above the crust, about 1 cm above the inguinal fold. Blunt dissection of the saphena magna; presentation of the lateral branches, gradual ligation of all lateral branches, including those opening dorsally to the point of entering the femoral vein.
- Distal clamping of the saphenous vein by means of a clamp and double ligature of the saphenous vein above the level of its confluence.
- Cutting of the saphenous vein between ligature and clamp; insertion of a short suction drainage (CH 10-12); layered wound closure; continuous intracutaneous suture to close the skin.
- Magna-crossectomy and stripping of the saphenous vein can be performed in one session. The suction-drainage can be pulled on the 2nd postoperative day.
Note(s)This section has been translated automatically.
As an alternative to crossectomy, edoluminal catheter-assisted techniques are used to eliminate venous reflux, such as endoluminal catheter-assisted laser therapy, endoluminal radio wave therapy and foam sclerotherapy.
LiteratureThis section has been translated automatically.
- Crane J et al (2003) Recent developments in vascular surgery. BMJ 327: 911-915
- Mariani F et al (2015) Selective high ligation of the sapheno-femoral junction decreases the neovascularization and the recurrent varicose veins in the operated groin. Int Angiol 34:250-256.
- Petres J et al (1996) Operative Dermatology, Springer, Berlin Heidelberg New York, p. 111
- van Neer PA et al (2003) Venae perforantes: a clinical review. Dermatol Surgery 29: 931-342
Prof. Dr. med. Peter Altmeyer