Endochirurgie versus offene Chirurgie der Varikose

Versuch einer Wertung

Endovenous ablation versus open surgery for varicose veins

An attempt at an evaluation

Zusammenfassung

Die offene und endovenöse Chirurgie der Varikosis bietet eine ausgezeichnete Möglichkeit zur Sanierung der Varikosis bei den Patienten. Jedoch gibt es große Unterschiede in der Durchführung der Techniken. Egal welches Verfahren durchgeführt wird, es gibt Standards, die beachtet werden sollten. „State of the art“ der offenen Venenchirurgie mit radikaler Krossektomie ist hinreichend bekannt, wird aber leider heutzutage immer noch nicht überall korrekt durchgeführt. „State of the art“ der endovenösen Venenchirurgie ist bisher leider noch nicht ausreichend dokumentiert, sollte sich aber an den offen chirurgischen Techniken orientieren. Wie der Standard bei beiden Verfahren heute ist (oder sein sollte), wird in dieser Arbeit beschrieben und detailliert erläutert. Eine Rezidivdefinition, die für beide Techniken gilt, wird aufgestellt.

Abstract

Open and endovenous surgery of varicose veins provides an excellent way to treat varicose veins. However, there are great differences in the how the techniques are performed. No matter which procedure is carried out, there are standards that should be observed. The state of the art of open venous surgery with radical crossectomy is well-known, but unfortunately is still not always performed correctly nowadays. The state of the art of endovenous surgery has unfortunately not yet been sufficiently documented, but should be based on open-surgical techniques. How the standard of both methods today is (or should be) is described in detail in this work. A recurrence definition which applies to both techniques, is set up.

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Correspondence to Dr. K. Hartmann or Dr. D. Stenger.

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K. Hartmann, D. Stenger, M. Hartmann und L. Rafi-Stenger geben an, dass kein Interessenkonflikt besteht.

Dieser Beitrag beinhaltet keine von den Autoren durchgeführten Studien an Menschen oder Tieren.

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Hartmann, K., Stenger, D., Hartmann, M. et al. Endochirurgie versus offene Chirurgie der Varikose. Hautarzt 68, 603–613 (2017). https://doi.org/10.1007/s00105-017-3996-2

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Schlüsselwörter

  • Varikosis
  • Krossektomie
  • Radiofrequenz
  • Venenchirurgie
  • Rezidiv

Keywords

  • Varicose veins
  • Crossectomy
  • Radiofrequency
  • Vein surgery
  • Recurrence