Under local anesthesia, varicose veins can be removed through small incisions, using special hooks to secure varicose side branches. This method is an alternative to desertification.
Radical surgery consists of four steps: crossectomy, perforation ligation, stripping and phlebectomy:
The term crossectomy describes the connection (ligation) of lateral branches, which run in the groin in the body-proximal region of the great saphenous vein (which runs from the ankle to the groin, under the skin on the inside of the leg). The term ‘Crosse’ is derived from French and means ‘crosier’ or ‘crooked (shepherd’s) staff’. The ligation points to the course of the great saphenous vein, which resembles a bent shepherd’s staff.
Between the superficial vein system and the deep veins there exist connecting veins, perforating the connective tissue layer (perforation). If a pathological reflux (reverse flow) is detected by ultrasound, the connective veins must be foreclosed.
Stripping and phlebectomy
By means of a probe, the large or small saphenous vein is entirely stripped off via small cuticles. The radical operation is usually performed under general anesthesia. This method is given due consideration in patients suffering from severe varicose veins and for whom treatment takes precedence for the sake of cosmetic results. The advantage of this operation is, that the probability recurrence of the varicose vein is the lowest according to present-day statistical evidence. Here, the phlebectomy (removal of the small lateral branches) can also be omitted by means of small incisions in the skin – the side branches can be obliterated separately.