Trendelenburg operation

A Trendelenburg operation is a surgical procedure conducted for the treatment of varicose veins. It is the juxtafemoral flush ligation of the great saphenous vein to the femoral vein.[1][2]

Trendelenburg operation
Specialtyphlebologists

Procedure

An oblique incision is made in the groin, over the femoral artery and extending 4 cm medially. The great saphenous vein is exposed and the common femoral and subsartorial veins are identified before dividing. The vein is ligated close to the junction with of the femoral vein.[3] If the ligation is distal from the saphenofemoral junction, it will leave out small tributaries which may later cause recurrence of varicosities. Additionally, there is risk of a blind loop formation, which can be a potential space for the formation of thrombus. The rate of recurrence in this surgical procedure is high.

References
  1. BAILEY AND LOVE's Short practice of surgery 24th Edition, Page 963
  2. SRB's MANUAL OF SURGERY 5th Edition, Page 234,
  3. Cumston, Charles Greene (May 1898). "VI. Varicose Veins and their Treatment by Trendelenburg's Operation". Annals of Surgery. 27 (5): 626–639. ISSN 0003-4932. PMC 1426801. PMID 17860579.


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