Cryostripping

Author: Prof. Dr. med. Peter Altmeyer

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Last updated on: 29.10.2020

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Definition
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Invasive, phlebo-surgical method for the treatment of trunk varicosis.

General information
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The advantages of cryostripping are short operating times (approx. 45 minutes) and good cosmetic results. However, Babcock stripping of V. saphena magna remains the gold standard!

Implementation
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  • Carried out under anaesthetic.
  • 3-4 cm long incision above the hiatus saphenus in the groin
  • Blunt dissection of the junction of the V. saphena magna with depiction of the venous star, the crusts and, if possible, all of their lateral branches (see crossectomy).
  • Ligation of the V. saphena magna at its confluence with the V. femoralis, ligation of the lateral branches.
  • Introduction of a steel probe, at the tip of which the discharge of nitrous oxide or carbon dioxide leads to extreme evaporative cooling (- 85 °C).
  • The cold leads to the vein sticking to the metal probe.
  • Then extraction without a second skin incision.

Literature
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  1. Breuninger H et al (2001) Cryostripping of the long saphenous vein with a percutaneously guided probe. Dermatol Surgery 27: 545-548

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Last updated on: 29.10.2020