J.Jpn. Surg. Soc.
ISSN 1880-1129

[Abstract] [Full Text PDF] （in Japanese / 2860KB） [Members Only And Two Factor Auth.]

J.Jpn. Surg. Soc.. 101(10): 741-744, 2000

Feature topic

DAY SURGERY FOR TREATMENT OF VARICOSE VEINS IN THE LEG

Department of Cardiovascular Surgery, National Tohsei Hospital, Shizuoka, Japan

Kiyokage Kubo, Takuya Umemoto, Kouyou Shirahashi, Masanori Wakabayashi, Matuhisa Imaizumi, Kyuuiti Furuhashi, Yoshitugu Kitoh

We had surgically treated varicose veins in 554 legs of 386 patients as of June 30, 2000. Varicose veins of the stem or segment type without skin changes were treated with sclerotherapy combined with high ligation, while a part of secondary varicose veins and the reticular or web type were treated with sclerotherapy alone. This paper describes our methods for day surgery for this condition. The most important therapeutic consideration in the surgical procedure is achieving sufficient venous collapse to prevent the occurrence of intravenous thrombus. In our 386 patients, a massive intravenous thrombus that was resected occurred in one limb (0.1%). Postoperative bleeding also occurred in one limb (0.1%) of a patient with severe liver cirrhosis.

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