Vein stripping: Difference between revisions
Content deleted Content added
Dromkarkhot (talk | contribs) Types of stripping Tags: Mobile edit Mobile web edit |
Undid revision 889804657 by Dromkarkhot (talk) Overly detailed, grammar, uncited |
||
| Line 12: | Line 12: | ||
}} |
}} |
||
'''Vein stripping''' is a surgical procedure done under [[General anaesthetic|general]] or [[local anaesthetic]] to aid in the treatment of [[varicose veins]] and other manifestations of [[chronic venous disease]]. The vein "stripped" (pulled out from under the skin using minimal incisions) is usually the [[great saphenous vein]]. The surgery involves making incisions (usually the groin and medial thigh), followed by insertion of a special metal or plastic wire into the vein. The vein is attached to the wire and then pulled out from the body. The incisions are stitched up and pressure dressings are often applied to the area.<ref>{{Cite journal|url = |title = The care of patients with varicose veins and associated chronic venous diseases: Clinical practice guidelines of the Society for Vascular Surgery and the American Venous Forum|last = |first = |date = 2011|journal = Journal of Vascular Surgery|doi = 10.1016/j.jvs.2011.01.079|pmid = |access-date = |volume=53 |pages=2S–48S}}</ref> |
'''Vein stripping''' is a surgical procedure done under [[General anaesthetic|general]] or [[local anaesthetic]] to aid in the treatment of [[varicose veins]] and other manifestations of [[chronic venous disease]]. The vein "stripped" (pulled out from under the skin using minimal incisions) is usually the [[great saphenous vein]]. The surgery involves making incisions (usually the groin and medial thigh), followed by insertion of a special metal or plastic wire into the vein. The vein is attached to the wire and then pulled out from the body. The incisions are stitched up and pressure dressings are often applied to the area.<ref>{{Cite journal|url = |title = The care of patients with varicose veins and associated chronic venous diseases: Clinical practice guidelines of the Society for Vascular Surgery and the American Venous Forum|last = |first = |date = 2011|journal = Journal of Vascular Surgery|doi = 10.1016/j.jvs.2011.01.079|pmid = |access-date = |volume=53 |pages=2S–48S}}</ref> |
||
Using Myer's stripper vein is stripped off. Stripping |
|||
from below upwards is technically easier. Immediate |
|||
application of crepe bandage reduces the chance of |
|||
bleeding and haematoma formation. Stripping avulses |
|||
the vein as well as obliterates the tributaries. Babcock's |
|||
stripper and rigid metal pin stripper can also be used |
|||
Two methods of stripping are used: (1) Extraluminal |
|||
collision technique using Myer's stripper (Acorn head |
|||
stripper, 73 cm long) is practiced since long time; |
|||
but it damages the adjacent tissue, causes infection |
|||
postoperative pain, discomfort and haematoma along |
|||
the stripped tract with possibility of revascularisation |
|||
of the tract haematoma. (2) Invagination technique is |
|||
better with less damage to adjacent tissue. Codman's |
|||
stripper is used for invagination technique. |
|||
An overnight hospital stay is sometimes required, although some clinics may do it as a day surgery procedure. Patients may be advised to avoid physical activity for days or weeks. A pressure bandage, followed by elastic stockings, is a common recovery prescription. |
An overnight hospital stay is sometimes required, although some clinics may do it as a day surgery procedure. Patients may be advised to avoid physical activity for days or weeks. A pressure bandage, followed by elastic stockings, is a common recovery prescription. |
||
Revision as of 11:13, 28 March 2019
 | This article needs additional citations for verification. (October 2016) |
| Vein stripping | |
|---|---|
| ICD-9-CM | 38.5 |
Vein stripping is a surgical procedure done under general or local anaesthetic to aid in the treatment of varicose veins and other manifestations of chronic venous disease. The vein "stripped" (pulled out from under the skin using minimal incisions) is usually the great saphenous vein. The surgery involves making incisions (usually the groin and medial thigh), followed by insertion of a special metal or plastic wire into the vein. The vein is attached to the wire and then pulled out from the body. The incisions are stitched up and pressure dressings are often applied to the area.[1]
An overnight hospital stay is sometimes required, although some clinics may do it as a day surgery procedure. Patients may be advised to avoid physical activity for days or weeks. A pressure bandage, followed by elastic stockings, is a common recovery prescription.
Complications
As with any surgery that requires anesthesia, patients might experience some complications.
Some risks include:
- Allergic reactions
- Post operative bleeding
- Deep vein thrombosis and pulmonary embolism
- Nerve injury leading to numbness or weakness in affected area
- Infection
See also
References
- ^ "The care of patients with varicose veins and associated chronic venous diseases: Clinical practice guidelines of the Society for Vascular Surgery and the American Venous Forum". Journal of Vascular Surgery. 53: 2S–48S. 2011. doi:10.1016/j.jvs.2011.01.079.