CLASSICAL STRIPPING has existed for a 100 years, and was first carried out by Babcock in 1907 at the Mayo Clinic. The procedure is to completely remove the venous trunks that have lost their function in the venous return from the legs .The so called ‘stripping’ procedure has evolved a lot throughout the years and has been greatly improved in the same way anesthesia has, and also because of the introduction of the hook phlebectomy (mini incision about 1 mm every 5-10 cm, avoiding sutures) destinated to the side branches of the main stemm .
Stripping remains the treatment of choice in more complex situations, where the varicose status is very developed or has multiple branches or in local obstructions and defects that have been highlighted with a ultrasound echography at the initial check.
A very complete and meticulous surgical cure of all of the « sick » network will ensure a good long term result , because structures with a potential for recidivism are removed in order to avoid reconnections which the venous system tends to create.
Recurrences are certainly related to genetic and family factors, but are often related to a technically incomplete gesture. The Stripping procedure will NOT completely disappear ( see below on this page late results after 20 years ).
The ‘classic’ surgery remains the treatment of choice when the dilatation of the venous network at the surface and also more deep are too large, tortuous or has « elbows » or complex replicas. It eventually requires a stationary one night stay depending on the extent of the varicose status, visible and hidden.
Thermic treatment by LASER or RADIOFREQUENCY therefore does not represent a universal panacea for all situations when considering the longevity of the results obtained. The indications are conditioned by anatomical and hemodynamic criteriae determined during ultrasound investigations.
RESULT 15 YEARS AFTER OPERATION
After standing motionless
venous congestion is visible on the lower legs
One week after surgery
6 months LATER
Everything has changed !
With a « better » circulation
skin color is now clear and most oedema has gone