Indication – Sapheno Femoral Valve incompence
Anesthesia : Spinal
Position: Supine
Incision: Oblique incision 3 cm below the groin crease starting from femoral artery pulsation to 5 cm medially
Step 1. Skin flaps reflected and Long Saphenous Vein identified in the Superficial fascia
Step 2. All the tributaries of long saphenous vein at the SFJ are ligated and divided.
Step 3. Long saphenous vein flush ligated with the femoral vein
Step 4. Upper 10 cm Long saphenous vein excised
Step 5. Haemostasis achieved and skin closed & Elastocrepe bandage applied.
Steps 2, 3 and 4 form the components of Trendelenburg Surgery
What does flush ligation mean?
ReplyDeleteSaphenous vein is cut from femoral vein as close as possble to femoral vein not to leave any remnant.
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Means tying the saphenous vein just short of the femoral
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ReplyDelete