Multiple Perforator Ligations for Varicose veins due to Perforator Incompetence.
The open surgery for varicose veins due to Perforator Incompetence is identification and ligation of the marked perforators . Note the T junction in the course of the Great Saphenous Vein.
The perforators pierce the deep fascia of the lower limb and connects with the deep venous system. This typical T junctions are ligated at 3 points, that is, two horizontal points and one vertical point. Hence this surgery is also called Multiple ligations.
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