Historical Overview of Varicose Vein Surgery
| Autor: | Jephta van den Bremer, Frans L. Moll |
|---|---|
| Rok vydání: | 2010 |
| Předmět: |
medicine.medical_specialty
Radiofrequency ablation medicine.medical_treatment History 18th Century History 21st Century law.invention History 17th Century Varicose Veins law Varicose veins Sclerotherapy medicine Humans Minimally Invasive Surgical Procedures Saphenous Vein Vein Saphenofemoral junction Ligation History Ancient Ultrasonography Doppler Duplex business.industry History 19th Century General Medicine Femoral Vein History 20th Century Surgery Varicose vein surgery Treatment Outcome medicine.anatomical_structure History 16th Century Rapid rise cardiovascular system medicine.symptom Cardiology and Cardiovascular Medicine business Vascular Surgical Procedures |
| Zdroj: | Annals of Vascular Surgery. 24:426-432 |
| ISSN: | 0890-5096 |
| Popis: | Varicose veins are as old as Hippocrates. Varicose vein treatments come and go. Surgery for varicose vein disease is one of the commonest elective general surgical procedures. The history of varicose vein surgery has been traced. We note the first descriptions of varicose veins, and we particularly focus on the ligation of the saphenofemoral junction, stripping of the great saphenous veins, phlebectomy, and perforant vein surgery. We end with the rapid rise of minimally invasive procedures, such as foam sclerotherapy, radiofrequency ablation, and endovenous lasertherapy. Within 10 years, the advantages of minimal invasiveness for these procedures, combined with claims of equivalent short-term outcomes and even better long-term results, have already influenced our everyday practice. At present, the gold standard treatment of varicose veins still is surgical ligation and stripping of the insufficient vein. Concomitantly or sequentially with the treatment of truncal insufficiency, residual varicosities can be treated by phlebectomy. New minimally invasive techniques, however, have changed the clinical landscape for varicose vein surgery tremendously. The dramatic changes of the last decade are probably the precursors of the next generation. |
| Databáze: | OpenAIRE |
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