Spiral cut after beef and Friedel

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The spiral cut according to beef and Friedel - also beef-Friedel operation or writing line cutting method - is an outdated operation method developed in 1908, which was used for the surgical treatment of varicose veins , especially in the case of a venous leg ulcer as a result of chronic venous insufficiency .

The surgeon Walter Rindfleisch, who works at the Stendaler Johanniter Hospital, and his assistant Gotthold Friedel developed a circular incision technique to destroy the corresponding varicose vein as much as possible, since varicose veins are difficult to detach from scarred and ulcerated tissue. In a single cut, which could be more than 150 cm long, the leg was circled several times from the knee to the ankle. This cut reached down to the fascia and created gaping wound edges, which were artificially kept open in the postoperative phase by brushing them with the Höllensteinätzstift (“Höllenstift”).

The spiral cut according to Rindfleisch and Friedel resulted in a considerable loss of blood and led to sensory disturbances which could considerably limit the use of the treated leg. Nevertheless, the method was used many times in most of the larger clinics in German-speaking countries. In the 1940s, vein stripping , which was based on the surgical method of the US surgeon William Wayne Babcock , prevailed over the spiral cut . Nowadays, variants of the Babcock operation or modern methods of sclerotherapy are used for the corresponding clinical pictures .

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