Vein Ligation and Stripping

Vein ligation and stripping is a minor surgery. It is used to remove a damaged vein and prevent complications of vein damage. If several valves in a vein and the vein itself are heavily damaged, the vein (or the diseased part of the vein) is removed (stripped). An incision is made below the vein, a flexible instrument is threaded up the vein to the first incision, and the vein is grasped and removed. During this surgery, one or more incisions are made over the damaged veins, and the vein is tied off (ligated). If the ligation cuts off a faulty valve and the vein and valves below the faulty valve are healthy, the vein may be left in place to continue circulating blood through other veins that still have valves that work well.
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What To Expect After Surgery Vein ligation and stripping typically do not require a hospital stay and are done on an outpatient basis with regional or general anesthesia. Most people go home the same day of their surgery. Most likely, you will be able to return to work within a few days. After several weeks, you can resume normal leisure and recreational activities. Why It Is Done Vein ligation and stripping is generally done on large varicose veins. It also can be done to prevent venous skin ulcers from returning after treatment. This surgery may be used when: You want to get rid of varicose veins for cosmetic reasons and don't have other health problems that would make surgery more risky. Your legs ache, swell, or feel heavy, especially after prolonged standing. A varicose vein bleeds. Open sores (ulcers) develop because of varicose veins or poor blood circulation in a vein. The vein is damaged in the section where it joins the superficial and deep veins in the knee or groin. If you have both small and large varicose veins, you may have more than one type of treatment. Following vein ligation and stripping to treat large varicose veins, you may have sclerotherapy to treat smaller varicose veins. Who should not have ligation or stripping Vein ligation and stripping should not be done in: Older adults for whom surgery poses a high risk due to other medical conditions. People who have poor circulation in the arteries of the legs. People who have swelling and fluid buildup due to blockage in the lymph vessels (lymphedema), skin infections, or blood-clotting defects. Women who are pregnant. People who have an abnormal passageway between an artery and vein (arteriovenous fistula) in the leg. How Well It Works Vein ligation and stripping removes varicose veins and keeps them from coming back in 90 out of 100 people. It doesn't work for 10 out of 100 people.1

Risks Vein ligation and stripping surgery has some risks, such as scarring and varicose veins recurring. Also, if the deep vein system is damaged, surgery may make problems with blood flow in the veins worse. Varicose vein surgery has the same risks associated with general surgery, including infection, bleeding, and anesthesia risks. If the largest vein in the leg (great saphenous vein, or GSV) is stripped below the knee, numbness may result due to nerve injury. What To Think About In the past there was concern about removing the great saphenous vein, because this vein is often used as a replacement or graft for an artery in the heart when a person has bypass surgery. Doctors now believe that there is no reason not to strip the GSV in the leg if needed. If the vein is badly damaged, it will not work as a vein graft anyway. In most cases a blood vessel from the chest (mammary artery) can be used during heart bypass surgery instead of the GSV. If necessary, arm veins can be used. Vein stripping surgery is seldom done for people who have chronic venous insufficiency (CVI) resulting from deep vein problems and who also have varicose veins. Removing varicose veins close to the surface of the skin (superficial varicose veins) may cause problems if the deep leg veins are also damaged. If you are considering this surgery, get an opinion from a vascular specialist.

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Ligasi Vena dan Stripping

Ligasi Vena dan stripping termasuk bedah minor. Biasanya digunakan membuang vena yang rusak dan mencegah komplikasi dari kerusakan tersebut. Jika beberapa katup dalam vena dan vena itu sendiri rusak berat, vena (atau bagian yang rusak dari vena) maka bagian tersebut akan dibuang. Insisi dibuat dibawah vena, instrumen fleksibel diulirkan diatas vena pada insisi pertama, dan kemudian vena terpegang lalu dibuang. Selama operasi, satu atau lebih insisi dibuat pada vena yang rusak, dan vena tersebut diikat. Jika ligasi memotong katup yang rusak dan vena dan katup dibawah katup yang rusak masih sehat, maka vena kemungkinan ditinggalkan pada tempat untuk meneruskan sirkulasi darah melalui vena yang lain yang masih memiliki katup yang bekerja dengan baik

Pencapaian yang diharapkan pasca operasi. Ligasi vena dan stripping biasanya adalah pelayanan one day care yaitu tanpa ada rawat inap di rumah sakit, dengan kata lain setelah operasi px diperbolehkan pulang, dan biasanya anastesi yang digunakan merupakan salah satu pilihan regional atau general anastesi. Mengapa dilakukan? Ligasi vena dan stripping secara umum dilakukan pada varises vena yang besar, dapat juga dilakukan untuk mencegah ulcer vena pada kulit setelah treatment. Operasi ini bisa juga digunakan ketika: Px ingin membuang varises vena untuk alasan kosmetik dan tidak memiliki masalah kesehatan lain yang akan membuat operasi lebih berisiko Kaki yang cedera, membengkak atau terasa berat, terutama setelah berdiri dalam jangka waktu yang lama Perdarahan varises vena Ulcer yang berkembang karena varises vena atau sirkulasi darah yang berkurang dalam vna Vena yang rusak di bagian dimana vena bergabung dengan vena superfisial dan mendalam di lutut atau pangkal paha. Jika asin memiliki varises vena baik bsar atau kecil, pasien dapat memperoleh lebih dari 1 tipe treatment.Lligasi vena dan stripping untuk terapi varises vena yang besar , dan scleroterapi untuk varises vena yang lebih kecil. Pasien yang tidak boleh mendapatkan ligasi atau stripping Lansia yang beresiko tinggi apabila diberikan terapi ligasi terhadap kondisi kesehatannya yang lain Px yang memiliki sirkulasi darah yang kurang pada arteri kaki

Px yang mengalami pembengkakan dan penumpukan cairan karena penyumbatan di pembuluh getah bening (lymphedema), infeksi kulit atau gangguan pembekuan darah Wanita hamil Px yang memiliki batasan pada arteri dan vena (arteriovena fistula) pada kaki Resiko Ligasi vena dan operasi stripping memiliki beberapa resiko, misalnya scar dan kekambuhan varises vena. Dan juga jika sistem vena dalam mengalami kerusakan, operasi kemungkinan akan memunculkan masalah pada aliran darah dalam vena yang memburuk. Operasi varises vena memiliki resiko yang sama dengan operasi pada umumnya yaitu infeksi, perdarahan dan resiko anestesi. Jika vena terbesar di kaki (GSV) dilepaskan dibawah lutut, keadaan mati rasa dapat dihasilkan karena kerusakan saraf.