Varicose veins are basically dilated, tortuous or elongated superficial veins that are usually seen in the lower limbs or legs. It is known to occur in any age group but is found to be most common from mid- twenties onwards. The development of varicose veins is a progressive disease. It is found more commonly in females than in males.
What is the anatomy of the venous system of legs ?
All the veins in our body are divided into either the superficial venous system or the deep venous system. The chief superficial veins of the lower extremity are the small saphenous vein (SSV), which typically runs from ankle to knee and the great saphenous vein (GSV), which typically runs from ankle to groin. It is the job of the superficial collecting veins to deliver their blood into the great and small saphenous veins, which in turn deliver most of their blood into the deep venous system. All the venous blood is ultimately received by the deep venous system on its way back to the heart (the right atrial chamber). The main deep venous trunk of the leg is known as the popliteal vein from below the knee (popliteal fossa) until it passes upward into the thigh, wherein it is known as the femoral vein (FV) for the rest of its course in the thigh. This is the principal and longest deep vein of the leg. Different from arteries with thick walls, veins are seen to be very thin and distendable, so the peripheral venous system works as a pool to hold extra blood.
What is a trendelenburg surgery ?
A Trendelenburg operation is basically a surgical procedure done to treat varicose veins. It is the tying of the great saphenous vein very near to its union with the femoral vein, in a procedure called juxtafemoral flush ligation.
What is the procedure for trendelenburg surgery ?
An oblique surgical incision is made in the groin, just over the femoral artery and extending a little medially. The great saphenous vein (the major vein of the leg) is exposed and the femoral veins are recognized. The vein is then ligated close to its junction with the femoral vein.If the ligation is too down, it will leave out many small tributaries which may later recur as varicosities. Moreover there is risk of a blind loop formation, which can be a possible space for thrombus formation. The rate of recurrence for varicose veins is high in this surgical procedure.
How to find and reach vascular surgeons for trendelenburg surgery ?
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Disclaimer: The content provided here is meant for general informational purposes only and hence SHOULD NOT be relied upon as a substitute for sound professional medical advice, care or evaluation by a qualified doctor/physician or other relevantly qualified healthcare provider.