clarks shoes outlet Therapy of saphenous varicose

xp574088 · Wysłany: Wto 15:14, 15 Mar 2011

Therapy of saphenous varicose veins

Parts of the great saphenous varicose vein stripping surgery. Reason: rotating shallow iliac vein, superficial epigastric vein blood flow direction is from top to bottom, while the genital vein blood flow direction is nearly horizontal,[link widoczny dla zalogowanych], even if the great saphenous vein in severe, the three branches of the vein is almost impossible varicose r2]. Five 2.2 branch retention times of great saphenous vein high ligation + stripping technique in conventional high ligation of saphenous vein incision below the longitudinal skin incision, the skin, revealing the great saphenous vein and the bottom of the five branches of the medial femoral lateral femoral vein and vein, and ligation in the double bottom of the saphenous vein. Shallow rotary retaining iliac vein, superficial epigastric vein, pudenda vein, femoral vein medial, lateral femoral veins, great saphenous vein of the five branches of the second high saphenous vein ligation surgery. Parts of the lower extremity varicose great saphenous vein stripping surgery. Reason: clinical practice found that a large part of the great saphenous vein of the patient, in addition to saphenous vein Traveling regional expansion, the five branches of their respective areas without varicose veins, and some patients show only the great saphenous vein in the calf, or five branches of the following areas great saphenous vein. Varicose veins, an intravenous angiography as primary great saphenous vein,[link widoczny dla zalogowanych], clinical symptoms and signs confined to the lower leg or thigh, not the five branches of varicose veins, are feasible time high ligation D]. 2.3 valvuloplasty treatment of great saphenous vein to draw blood before anesthesia Traveling standing. Thigh by the lower 1 / 3 of the skin incision of about 4 ~ 5cm. Isolated saphenous vein is about 4 ~ 6cm, by overlaying the tension of vascular conditions. In case of vessels together with the branch ligation, saphenous vein in the separation of 1 / 2 center, with no damage to the connection of a $ 49 nylon. Transverse suture slightly lighter coat of a sewing needle. Circle around the vascular bundles of peripheral vasoconstriction 1 / 5 knots, the same line under the needle by banding the distance o. 4 ~ o. 5cm, near and far ends of the longitudinal axis of about 3 to 4-pin suture. No damage to blood vessels using microsurgical forceps to assist in banding together with the Ministry of distal into the proximal sleeve. Suture knot the great saphenous vein overlay was inverted funnel-shaped folds (valvuloplasty). Saphenous vein for the calf to the fascia under the traffic branch ligation r4]. High ligation of 2.4 + electric coagulation at first in the medial malleolus through a small incision, isolated saphenous vein, distal ligation, since the electric condenser placed proximal to the groin for inguinal incision, each isolated saphenous vein ligation branches; in the great saphenous vein into the femoral vein ligation and 0.5cm at the great saphenous vein cut, then the Air Force General Hospital of 2oo2 l8 on No. 4 will be marked before varicose vein surgery with trocar puncture, After coagulation of the varicose vein wrapping with sterile elastic limbs stretched succeed, the great saphenous vein coagulation. Saphenous vein ligation and suture the wound. Surgery is the use of electric coagulation to coagulation of the endometrium to the destruction of varicose veins to form the thrombus and cause embolism fibrosis, so as to achieve similar results with endarterectomy. However, a hematoma and inadequate treatment of varicose veins shortcomings. 2.5 + suture ligation conventional high ligation of saphenous vein, varicose vein of lower extremity percutaneous with One ring suture thread. More pain at the postoperative suture, severe varicose veins still need stripping. In summary, the treatment of great saphenous vein is divided into non-surgical treatment and surgical treatment. The author believes that the choice of surgical procedures, can not do all articles. According to the severity of varicose great saphenous vein, the reasons (simple, secondary), the patient's aesthetic requirements. Great saphenous vein can be used as simple reservation or three branches of the five branches of the saphenous vein high ligation + times endarterectomy. Aesthetic requirements of varicose veins can be used in patients with high electric coagulation, cerclage,[link widoczny dla zalogowanych], or hardening. For the great saphenous vein with severe penetrating branch valve dysfunction or deep vein valve dysfunction should be the standard radical line. Long-term effects must be considered. Currently, any kind of surgical approach is not perfect. Remind surgeons attention should be patient before treatment,[link widoczny dla zalogowanych], to explain clearly the pros and cons of various treatments, the patient selection,[link widoczny dla zalogowanych], so as not to cause future medical disputes.
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