New Stripping Procedure in a Short Hospital Stay for Primary Varicose Veins ――High Ligation, Selective Stripping from Dodd’s to Boyd’s Perforator and Crural Varicose Avulsion――

Abstract

For the purpose of a short hospital stay, a new stripping procedure was designed and performed on 51 limbs in 34 patients. It is expected to avoid postoperative hematoma and neuralgia in the thigh which sometimes occured in the standard procedure. Our procedure includes high ligation, selective stripping from Dodd’s to Boyd’s perforator at the knee level and crural varicose avulsion. Many selective stripping procedures in the thigh have already reported. However, our method is less invasive because it could reduce the rate of complications described above. The average follow-up period of these 34 patients is 2.7 months (range 1～4 months) and no recurrence or disadvantageous effect were found during these periods. These early results suggest that our new stripping method is useful for the treatment of a short hospital stay patient with varicose vein. However, we consider a long term follow-up also needs to make a final decision on its value.