Persistent popliteal fossa reflux following saphenopopliteal disconnection

Abstract

Despite preoperative duplex localization of the SPJ, SPD proved an unreliable technique in this series.

A prospective evaluation of the outcome after small saphenous varicose vein surgery with one-year follow-up

“…9 As in other studies, preoperative duplex marking of the SPJ has not been shown to improve outcomes. 10,11 It has been suggested that SSV surgery is more hazardous than GSV surgery, and that recurrence is more common. 4 Perioperative complication rates were low in the present series, as in other reports.…”

Factors Associated with Recurrence of Varicose Veins after Thermal Ablation: Results of The Recurrent Veins after Thermal Ablation Study

“…Recurrence rates as high as 49% have been described [11]. Labropoulos et al [12] have determined that SSV reflux was responsible for 29% of recurrent varices in the REVAS group.…”

“…Most of the recurrences of SSV insufficiency have been attributed to inadequate (SPJ) dissection. Unligated branches, anatomical variations, and retained SSV have been commonly cited as an etiology [11]. …”

Medium-term results of ultrasound-guided foam sclerotherapy for small saphenous varicose veins

“…By contrast, the literature indicates that outcomes after surgery for SSV are often suboptimal, with high rates of recurrence and a significant complication rate 2 -9 . Popliteal fossa anatomy is highly variable and, despite preoperative duplex marking, surgery is often technically inadequate, with an intact SPJ being reported in 24-47 per cent of patients at 6 weeks 3,5,8 . In one recent prospective multicentre observational study paraesthesia was present in 27 per cent of legs at 6 weeks, and in the majority this persisted after 12 months 3 .…”