CPT® Code 37718

The procedure described by CPT® Code 37718 involves the surgical intervention known as ligation, division, and stripping of the short saphenous vein. This procedure is typically performed to address issues related to venous insufficiency or varicose veins in the lower extremities. The short saphenous vein, which runs along the back of the leg, is targeted in this operation. The process begins with the physician making an incision at the saphenopopliteal junction, which is the area where the short saphenous vein connects to the popliteal vein behind the knee. This incision allows for direct access to the vein, enabling the surgeon to expose it and any venous branches that may require treatment. During the procedure, the surgeon meticulously dissects the venous branches along the short saphenous vein, ligating and dividing them as necessary to prevent bleeding and ensure proper removal of the vein. A second incision is made in the calf region to access the distal portion of the short saphenous vein. The vein is clamped at both proximal and distal ends to control blood flow, after which the distal end is ligated and divided. The use of a stripper, a specialized surgical instrument, allows the surgeon to remove the vein effectively. The stripper is inserted into the vein and advanced to the saphenopopliteal junction, where the proximal aspect of the vein is also ligated and divided. Finally, the stripper is tied to the proximal end of the short saphenous vein and pulled out through the calf incision, completing the procedure. This method is designed to alleviate symptoms associated with venous disorders and improve overall venous function in the affected leg.