Recurrent varicose veins following high ligation of long saphenous vein: a duplex ultrasound study

Tong, Yisha

doi:10.1016/0967-2109(95)94446-4

Cited by 49 publications

(27 citation statements)

References 9 publications

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“…13 -21 To clarify the causes of the recurrences and to determine better operative strategies, a number of systems have been proposed for the anatomical classification of the recurrences. 13,14,17,18,20,21 These systems are not easily comparable.…”

Section: Introductionmentioning

confidence: 99%

Recurrent Varicose Veins: Incidence, Risk Factors and Groin Anatomy

BLOMGREN¹,

JOHANSSON²,

DAHLBERGPKERMAN³

et al. 2004

European Journal of Vascular and Endovascular Surgery

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Objectives. To investigate the recurrence rate after sapheno-femoral junction (SFJ) ligation and great saphenous vein (GSV) stripping for varicose veins (VV), to evaluate risk factors for recurrence and to classify the anatomy of the recurrence in the groin. Design. Clinical follow-up study. Methods. Eighty-nine consecutive patients with 100 operated legs were reexamined clinically and with duplex after 6-10 years. Fourteen groins were re-explored, 13 after varicography. The anatomy in the groin was classified according to the Edinburgh system. The original medical records were examined to check for risk factors which could lead to a recurrence. Results. Fifty-seven legs had incompetent veins in the groin according to duplex. In 54 of them, it was possible to define whether the incompetent veins emanated from the former SFJ. Varicography and operative findings correlated well to duplex. The main difficulty was to distinguish neovascularization from residual branches. No significant risk factor for recurrence was found in the medical records. Conclusions. Recurrence of VV after SFJ ligation is common irrespective of perioperative difficulties or the surgeon's experience. The anatomy of recurrence in the groin is difficult to classify according to the Edinburgh system mainly because neovascularization is difficult to verify.

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Section: Introductionmentioning

confidence: 99%

Recurrent Varicose Veins: Incidence, Risk Factors and Groin Anatomy

BLOMGREN¹,

JOHANSSON²,

DAHLBERGPKERMAN³

et al. 2004

European Journal of Vascular and Endovascular Surgery

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“…Fewer still (19%, 13 of 70) reported that they were not 'generally pleased' at 10 years as a result of recurrent varicose veins: and just 8 had sought further treatment. It is only the latter small proportion of patients who are described in most publications about recurrent varicose veins, [21][22][23][24][25][26] and this is important to bear in mind when interpreting such studies.…”

Section: Discussionmentioning

confidence: 99%

“…15 Those long-term results which do exist come largely from the years before ultrasound assessment was routine. [16][17][18][19] About 20% of patients presenting to hospital for treatment have had varicose vein surgery before, 20 and most studies on recurrent varicose veins have used these patients as their starting point: [21][22][23][24][25][26] little is known about the many others who have had operations, and whose veins may also have recurred.…”

mentioning

confidence: 99%

The outcome of varicose vein surgery at 10 years: clinical findings, symptoms and patient satisfaction

Kumar²,

Collin³

et al. 2003

Annals of the Royal College of Surgeons of England

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Background: Data on long-term outcomes of varicose vein surgery are sparse, and 'success' rates vary substantially depending on the method of assessment. This study used a variety of methods to evaluate patients 10 years after operation. Methods: A consecutive cohort of 100 patients was identified, of whom 70 (151 operated limbs) were reviewed -50 by clinical and Doppler examination, and all by structured questionnaire. Results: A few months after operation, symptoms were 'cured' or 'much better' in 89% of patients, and remained so at 10 years in 77%. Only 30% patients were completely free of recurrent varicose veins at 10 years (both by self-and clinician-assessment): 44% had 'just a few' varicosities while 26% had varicose veins 'as badly as before'. Only 24 patients (34%) were not 'generally pleased' at 10 years, because of continuing symptoms (3), recurrent varicosities (13), and other miscellaneous reasons. Conclusions: Although some recurrence of varicose veins is frequent 10 years after operation, surgery provides long-term relief of symptoms in the great majority of patients.

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“…Finally, the significantly higher incidence of insufficient perforating veins after stripping (21% vs 0%) should be mentioned. Because some authors report insufficient perforating veins as the major cause of recurrence after stripping, [27][28][29] these incompetent perforators should be treated consequently simultaneously with stripping.…”

Section: Symptomsmentioning

confidence: 98%