Picture 4.0 Anatomy of the veins of the lower limb. Stripping of Tributary Veins Incisions are made over the ends of the varicose veins. As many incisions are made as necessary to remove all of the tributaries. The vein is exposed as much as possible through the incision. The varicose vein is grasped as deeply as possible and then extracted.
Pressure is applied followed by dressings.
With this process the saphenous vein is left intact. Surgery is an options for many forms of vascular disease and the reasons for performing surgery may vary from salvaging a limb to cosmetic concerns. When a blockage in an artery occurs there is always a chance that an amputation may be necessary, to prevent this bypass graft surgery is used. In the lower limb the vein of choice is the saphenous vein, which can be totally removed from its bed as in the reversed saphenous vein procedure or left in place as in the in situ saphenous vein graft. Aggressive treatment of popliteal aneurysms is suggested due to the high morbidity rates.