Crossectomy

The crossectomy is a surgical procedure in which the therapy of varicose veins , the so-called. Crosse (mouth piece of the largest superficial vein of the leg in the Beinhauptvene , in the groin) resected , d. H. is cut out.

The "Crosse" was named after its shape: it resembles the end of a shepherd's staff, as worn by the Catholic bishops, this is called "Crosse". The veins mentioned below open out at the cross in irregular numbers and form the so-called venous star . This is designed very differently: the veins can be completely different in their caliber and can be connected to one another by connecting veins, which can be of great importance for the occurrence of recurrences . A meaning that is not given enough consideration in alternative phlebology. If the crosse is not radically repaired in the case of valve insufficiency, there is a high risk of recurrence.

The crossectomy includes the following steps:

• Mark the course of the great saphenous vein in the standing patient and, with the aid of duplex sonography
• About 3 cm long skin incision above the palpable inguinal pulse of the arteria femoralis , which falls into the last third of the incision
• Division of the Scarpa fascia and exposure of the great saphenous vein and its confluence with the femoral vein
• Ligation of all veins from this section.

These are by name

• • Vena circumflexa ilium superficialis (runs laterally )
  • Vena epigastrica superficialis (runs cranially )
  • Accessory saphenous vein (runs distally )
  • Vena pudenda externa (runs medially )

The great saphenous vein is then separated by ligature at its confluence with the femoral vein. The procedure ends with the closure of the skin.

In most cases in which varicose veins are treated by means of crossectomy , the so-called vein stripping, developed by the US surgeon William Wayne Babcock at the beginning of the 20th century, follows . During this procedure, the entire great saphenous vein and its branches are removed using a probe or a PIN stripper (Perforate Invaginate Stripping) and - in modern procedures - diverted below the knee joint.

See also

• Vein stripping , the classic method for the surgical treatment of varicose veins.

Individual evidence

1. ↑ Eberhard Rabe, Markus Stücker: Phlebological picture atlas. Viavital Verlag, Cologne 2015, ISBN 978-3-934371-52-1 , pp. 10-11.
2. ↑ ^{a b} Eberhard Rabe, Markus Stücker: Phlebological picture atlas. Viavital Verlag, Cologne 2015, ISBN 978-3-934371-52-1 , pp. 147–148.
3. ↑ Erika Mendoza: Guide to varicose veins, leg swelling and thrombosis. Springer Verlag, Heidelberg 2016, ISBN 978-3-662-49737-1 , p. 191.