METHOD FOR TOTAL STRIPPING OF GREATER SAPHENOUS VEIN IN VARICOSE VEINS OF LOWER EXTREMITIES Russian patent published in 2020 - IPC A61B17/00 

FIELD: medicine.

SUBSTANCE: invention relates to medicine, specifically to vascular surgery. Flexible vein extractor is used. After the flexible vein extractor is introduced through the great saphenous vein (GSV) lumen, 100–150 ml of normal saline is introduced into the fascial vessel first from the medial malleolus to the upper one-third of the shin to the knee joint area. Then, after selection of the corresponding stud olive, the value of which depends on the width of the GSV, and preliminary vein ligation on the probe is performed by antegrade GSV stripping in the direction from the medial malleolus to the groin. At tension of GSV tributaries in process of stripping traction is stopped and inflow with barrel is disconnected. Inflow is isolated from mini-puncture with the help of Muller hook, wherein proximal end of tributary is cut off with subsequent continuation of traction. Distal portion of inflow is twisted by clamps and/or ligated. After the GSV is removed within 5–7 minutes, manual GSV compression is performed along the entire length for the purpose of haemostasis. Before sutures are applied in place of incisions with tightly rolled tampon, blood clots are evacuated from wound, after which the wound is closed and the bandage is elasticly bandaged to the groin.

EFFECT: method enables reducing the frequency of neurological disorders, avoiding postoperative lymphorrhea after GSV stripping.

1 cl, 2 ex