Surgical Treatment of Primary Varicose Veins of the Lower Limbs
 
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Salem Operation Introduction

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The Salem stripper is a surgical instrument used in performing the " Salem operation' the Salem endothelial stripping operation, for the surgical treatment of primary varicose veins of the lower limbs.

The Salem stripper is made of stainless steel. It consists of a handle, a flexible wire and the head system. All are protected in a stainless steel case. Each of these parts is connected with each other by a screw. The head system consists of a series of five heads that are variable in size. The heads are connected with each other by a small piece of wire or metal bar, which has a screw at both ends.

Each head is a conical cylinder and has a narrow end and a wide base with a central hole in each to fit the screw of the connection at both ends. The surface of the smaller head is smooth, while the surface of the remaining four heads has multiple, irregular sharp spikes. The spikes are raised above the surface of the head by 0.5 mm and are slightly directed toward the narrow end of the head by 15 degrees.

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