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Technical aspects of varicose vein surgery 

Technical aspects of varicose vein surgery
Chapter:
Technical aspects of varicose vein surgery
Author(s):

Karan Garg

, Lowell S. Kabnick

, and Mark A. Adelman

DOI:
10.1093/med/9780199658220.003.0068
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date: 18 October 2019

Chronic venous insufficiency affects a significant proportion of the population. Venous hypertension resulting from great saphenous vein (GSV) reflux is an important cause of chronic venous insufficiency and open surgical ligation and stripping has been the standard therapy with excellent long-term outcomes. However, this operation is not without significant morbidity and is typically performed under general anesthesia. The twenty-first century ushered in a new era for managing venous disease. Better understanding of venous physiology combined with the advancements in minimally invasive surgical techniques has led to the endovascular treatment of chronic venous insufficiency. Various modalities to eliminate flow in the GSV have been introduced, including laser ablation, radiofrequency ablation, chemical sclerosants, and mechanical disruption. Laser and radiofrequency ablation have been used over a decade with outcomes comparable to open surgery. Chemical sclerosants and mechanical disruption are promising new modalities.

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