Late recurrent saphenofemoral junction reflux after ligation and stripping of the greater saphenous vein

Fischer, R; Linde, N.; Duff, C.; Jeanneret, Christina; Chandler, James G.; Seeber, Philline

doi:10.1067/mva.2001.115802

Cited by 210 publications

(166 citation statements)

References 10 publications

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“…Vein ligation without stripping achieved only 58% freedom from reflux at 2 years, and only 29% freedom from reflux at 5 years. Fischer and colleagues [43] studied 125 limbs after ligation of the true saphenofemoral junction and its related tributaries, and found that 60% of limbs had SFJ reflux at mean follow-up of 3.4 years.…”

Section: Endovenous Radiofrequency Ablation Versus Vein Strippingmentioning

confidence: 99%

Endovenous Radiofrequency Ablation of Superficial and Perforator Veins

Roth¹

2007

Surgical Clinics of North America

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Section: Endovenous Radiofrequency Ablation Versus Vein Strippingmentioning

confidence: 99%

Endovenous Radiofrequency Ablation of Superficial and Perforator Veins

Roth¹

2007

Surgical Clinics of North America

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“…Other authors agree that recurrent varicose vein surgeries make 20% of all the procedures relating to lower limbs (2,10,11). Their costs are enormous.…”

Section: Discussionmentioning

confidence: 99%

“…The data from available literature show that recurrent varicose veins arise from persistent reflux in saphenous vein or in the area of saphenofemoral junction (2,6,7,8). Most often, pathologic regressive blood flow appears in peripheral vessels which were overlooked during the primary surgery.…”

mentioning

confidence: 99%

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The Usefulness of Preoperative Doppler Ultrasonographic Evaluation of Saphenofemoral Complex For Improving Lower Limb Varicose Veins Surgery

Mikusek¹,

Arendt²,

Waniczek³

et al. 2008

Polish Journal of Surgery

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The aim of the study was to determine whether detailed preoperative Doppler ultrasonographic examination of saphenofemoral complex can improve the results of the lower limb varicose veins surgery. Two groups of patients (30 people each) were operated due to lower limbs primary varicose veins caused by saphenous vein insufficiency. All patients had a routine duplex examination performed. Group B had additional ultrasound examination before the operation to evaluate the number, diameter, and localization of the tributary vessels in the area of saphenofemoral junction. 30 days after the operation, in both groups control duplex examination was performed to evaluate the sparingness of the surgical procedure. The control ultrasonography showed 8 and 2 tributary vessels overlooked in groups A and B, respectively. The differences were statistically significant. The conformity of the preoperative ultrasound and the scene found during the operation in group B was 83.3%. The chance of overlooking peripheral vessels in group A increased 5.1 times. Preoperative Doppler ultrasound estimates localization of tributary vessels within the saphenofemoral junction, which makes detecting vessels during the operation much easier. It allows to minimize the number of technical mistakes and improve the lower limb varicose veins surgery results.

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“…We also found that the clinical features assessed as per VCSS correlated well with the disability caused by varicose veins in lower limbs, assessed using the VDS. 12 et al found that the surgery was reasonable definitive therapy of primary varices, but secondary varices usually require rest, elevation and elastic support.…”

Section: Agementioning

confidence: 99%