Re-exploration of the saphenofemoral junction in the treatment of recurrent varicose veins.

Abstract:

:A retrospective study of 61 patients (61 legs) with recurrent varicose veins (RVV) and saphenofemoral junction (SFJ) incompetence was set up to assess the efficacy of re-exploration of the SFJ through a lateral approach. All the patients underwent re-exploration of the SFJ by a single surgeon (MPV) through a lateral approach. Thirty-one patients (50.8%) presented an intact SFJ. Twenty-seven patients (44.2%) presented intact major tributaries emerging from the stump of SFJ. In 2 patients (3.2%) the recurrence was related to neovascularization and in 1 case (1.6%) to cross groin venous connection. Follow-up averaged 2.81 years. Three (4.9%) patients were lost, 56 out of 58 patients (96.55%) were asymptomatic, 2 out of 58 (3.4%) presented a new recurrence in the groin. Complete isolation of the FV to identify every tributary and ligation of the SFJ flush with the FV are essential to avoid further recurrences.

journal_name

Int Surg

journal_title

International surgery

authors

Viani MP,Poggi RV,Pinto A,Andreani SM,Spagnoli C,Maruotti RA

subject

Has Abstract

pub_date

1996-10-01 00:00:00

pages

382-4

issue

4

eissn

0020-8868

issn

2520-2456

journal_volume

81

pub_type

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