Die LaVaCro-Studie: Langzeitergebnisse der Varizenoperation mit Crossektomie und Stripping der V. saphena magna

Papapostolou, G.; Altenkämper, H.; Bernheim, Carlos Tünnermann; Broermann, Marischa; Dresler, Christoph; Frings, N.; Hartmann, Marius; Heisterkamp, T.; Jünger, Michael; Steffen, H; Stenger, D.; Temboulatov, M.; Mumme, A.; Flessenkämper, I.

doi:10.12687/phleb2139-5-2013

Cited by 17 publications

(1 citation statement)

References 37 publications

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“…However, for these reasons some authors recommend a so-called extended high ligation with an additional ligation of separate side branches of the CFV near the SFJ during primary surgery. 23–25 Nevertheless, Papapostolou et al. found duplex-sonographic reflux at the groin in 2.24% of all patients one year after surgery, even though they performed an ‘extended’ high ligation and stripping in 841 patients with 1070 treated GSVs.…”

Section: Discussionmentioning

confidence: 99%

Minor tributary veins of the common femoral vein near the saphenofemoral junction – A postmortem study

et al. 2020

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Objectives Recurrent varicose veins after surgery are a frequent burden and the saphenofemoral junction is the most common source of reflux. Pre-existing branches of the common femoral vein near the saphenofemoral junction, which may increase due to haemodynamic or other reasons, could play a role in the development of recurrent varices. There exist only a few anatomical data about the prevalence of these minor venous tributaries of the common femoral vein near the saphenofemoral junction. Therefore, this study aimed to elucidate their frequency and distribution. Method A total of 59 veins from 35 anatomical donors were dissected. The common femoral vein with the adherent parts of the profunda femoris vein and the great saphenous vein was exposed and analysed ex situ. The number of minor tributaries to the common femoral vein was counted and their distances to the saphenofemoral junction as well their diameters were measured. Results We could identify up to 10 minor tributaries of the common femoral vein below the level of the great saphenous vein as far as 6 cm distally and up to four veins above the level as far as 5 cm proximally. The mean diameters of these vessels ranged from 0.5 to 11.7 mm. Most of these vessels were located near the saphenofemoral junction and 3 cm distally. Directly opposite to the opening of the great saphenous vein we could find at least one minor tributary of the common femoral vein in 57%. Conclusions There exist a vast number of minor tributaries of the common femoral vein and they are mainly located near the saphenofemoral junction. Nevertheless, their role in the development of recurrent varices is still unclear and further studies are necessary.

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Section: Discussionmentioning

confidence: 99%