Superficial saphenous reflux ablation for varicose vein: comfortable and cosmetic

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Anuwat chanthip


Background : Saphenous vein ligation and stripping for primary valvular disorder (superficial saphenous reflux) in older fashion has been done from groin to ankle with or without local excision varicosities in leg, caused multiple centimeters painful surgical scar and recurrence from axial veins Stripping of the saphenous vein in pressent day has been limited to distal thigh, base on knowledge of below knee calf perforator that connected to posterior arch vein (Leonado's vein), supplemented with stab avulsion of branch varicosties.
Patients and Method : Descriptive and prospective study of 25 cases, 25 limbs from December 2004 - September
2006, performed with ligation stripping of GSV with removal stripper head to groin after stripping down the thigh and stab avulsion with needle puncture followed by crochet hook at lower leg .
Result : All 25 cases, 25 limbs were successfully performed with this method, these patients were spent 2 days in hospital with no analgesic used; follow up and examined post operative 7 days then 1 month and annually founded that good cosmetic and no wounded complication.
Conclusion : Saphenous vein ligation and stripping with stab avulsion by puncture with needle and crochet
hook technique required no analgesic, no wounded complication and excellent cosmetic result


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chanthip, A. (2022). Superficial saphenous reflux ablation for varicose vein: comfortable and cosmetic. Lampang Medical Journal, 28(1), 24–33. Retrieved from
Original Article


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