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A Journal on Phlebology
Acta Phlebologica 2001 April;2(1):29-32
language: English, Italian
Pin Stripping in the treatment of the varicose veins of the lower limbs. Our experience
Cristiani A. M., Carissimi T., Zinnari R., Morchio E., Bertoglio C.
Department of Neuro-Cardio-Vascular Sciences, Operative Vascular Surgery Unit, Ospedale Civile di Imperia, Italy
BACKGROUND: Even if stripping of the great saphena is the elective surgical treatment of essential varices of inferior legs with incontinence of sapheno-femoral junction, common surgical complications are hematomas of saphenic channel and injuries of saphenic nerve. To verify that Pin Stripping with the Oesch’s device is less traumatic for subcutaneos tissue and provokes less prevalence of complication, such as postsurgical hematomas, pain, nervous injuries, and better aesthetic results.
METHODS: Between February 1999 and September 2000, Pin Stripping with the Oesch’s device was performed on 78 patients both males and females to treat incontinence of sapheno- femoral junction and of great saphena after echo color-Doppler venous mapping. Varicectomies by Oesch’s hooks completed surgical precedures, followed with elastic-compressive bandages for 7 days and elastic stockings for further 3 weeks.
RESULTS: In 22 cases, lacerations of the vein were detected, but neither infections of surgical wounds, nor hematomas of the saphenic channel or symptoms of nerve injuries were observed. The small dimensions of the exit hole did not request neither sutures, nor adesive tapes.
CONCLUSIONS: To prevent the complications of conventional stripping, the short stripping exhibits usefulness, even for prevention of relapses. Oesch’s Pin Stripping is actually a short stripping. According to other Authors, our experience confirms the validity of this technique to prevent major complications of long stripping and to obtain better aesthetic results.