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Thursday 10 January 2013

Trendelenburg operation for Varicose Veins


Trendelenburg operation for Varicose Veins-


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

6 comments:

  1. Replies
    1. Saphenous vein is cut from femoral vein as close as possble to femoral vein not to leave any remnant.

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  2. Means tying the saphenous vein just short of the femoral

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  3. Really.please answer in detail.

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