For five minutes during closure of the ankle wound. Associated lesser saphenous varices are treated by the same technique in the same session. The limb is snugly wrapped with a layer of cotton gauge and compression elastic bandages from the base of the toes to the groin.

Postoperatively, the limb is elevated 15 degrees and early ambulation is mandatory, The original dressings are removed after forty-eight hours and compression elastic bandages are reapplied until removal of the stitches.

Then the elastic stocking is applied for six weeks. The patient returns to work after three weeks. Residual varices are managed by sclerotherapy, Which starts after three weeks in cases with large tributaries and after six weeks in cases with irregular small varices that may disappear spontaneously after proximal control and obliteration of the main saphenou trunk.

Advantages of the Operation are as follows:

The procedure induces thrombosis in the vein

(1) without hemorrhage
(2) without surrounding fibrosis
(3) without injury to the structure surronding the vein, particulary the saphenous nerve.

<< Back to Operation Technique || Go to Ratioanle of Operation >>