Crossectomy

Author: Prof. Dr. med. Peter Altmeyer

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Last updated on: 29.10.2020

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Synonym(s)

Crossectomy

Definition
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Surgical removal of the mesentery of the vena saphena magna (magna crossectomy).

Implementation
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  • 4-6 cm long skin incision above the crust, about 1 cm above the inguinal fold. Blunt dissection of the saphena magna; presentation of the lateral branches, gradual ligation of all lateral branches, including those opening dorsally to the point of entering the femoral vein.
  • Distal clamping of the saphenous vein by means of a clamp and double ligature of the saphenous vein above the level of its confluence.
  • Cutting of the saphenous vein between ligature and clamp; insertion of a short suction drainage (CH 10-12); layered wound closure; continuous intracutaneous suture to close the skin.
  • Magna-crossectomy and stripping of the saphenous vein can be performed in one session. The suction-drainage can be pulled on the 2nd postoperative day.

Note(s)
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As an alternative to crossectomy, edoluminal catheter-assisted techniques are used to eliminate venous reflux, such as endoluminal catheter-assisted laser therapy, endoluminal radio wave therapy and foam sclerotherapy.

Literature
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  1. Crane J et al (2003) Recent developments in vascular surgery. BMJ 327: 911-915
  2. Mariani F et al (2015) Selective high ligation of the sapheno-femoral junction decreases the neovascularization and the recurrent varicose veins in the operated groin. Int Angiol 34:250-256.
  3. Petres J et al (1996) Operative Dermatology, Springer, Berlin Heidelberg New York, p. 111
  4. van Neer PA et al (2003) Venae perforantes: a clinical review. Dermatol Surgery 29: 931-342

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Last updated on: 29.10.2020