Surgical Correction of Main Stem Reflux in the Superficial Venous System: Does It Improve the Blood Flow of Incompetent Perforating Veins?

Al-Mulhim, Abdulrahman S.; El-Hoseiny, Hamdoun; Al-Mulhim, Faisal; Bayameen, Omar; Sami, Mohamad Mahmoud; Abdulaziz, Khalid; Raslan, Mahmoud; Al-Shewy, Ali; Al-Malt, Majid

doi:10.1007/s00268-003-6751-z

Cited by 34 publications

(28 citation statements)

References 38 publications

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“…Duplex scanning is the primary non-invasive method of assessing chronic venous insufficiency, which has an overall accuracy of 94%. This finding is in conformity of Masuda et al 12 who showed that duplex scanning had an overall accuracy of 88%.…”

Section: Duplex Scansupporting

confidence: 92%

Clinicoetiopathological Study of Varicose Veins at a Tertiary Care Centre

Vamseedhar¹,

Ramanaiah²,

Jhansi³

et al. 2019

jebmh

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A BS T R A C T BACKGROUNDVaricose veins, though a common condition, many a times remains asymptomatic. During its course, the disease produces complications which usually make the patient to seek medical care. METHODSThis is a prospective study where 100 patients with varicose veins admitted in Department of General Surgery, SVRRGGH Tirupati, were evaluated. A thorough history was obtained, detailed clinical examination was done, and clinical tests were applied; patients were subjected to duplex USG to confirm the diagnosis. Routine investigations were done, and patients underwent treatment based on clinical and investigational profile. The post-operative course, follow-up was noted. The final outcome was evaluated by the information that was taken down in the proforma designed for the study. RESULTSMajority of the patients were in the middle age group and incidence is more in males. Great saphenous system involvement is more common, and the operative procedure performed commonly is SFJ flush ligation with stripping of LSV with incompetent perforator ligation. CONCLUSIONSMajority of the patients presented with combined perforator and SF incompetence. Surgical treatment with flush ligation and stripping of LSV appears to be best option for lower limb varicose veins with LSV truncal involvement.

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Section: Duplex Scansupporting

confidence: 92%

Clinicoetiopathological Study of Varicose Veins at a Tertiary Care Centre

Vamseedhar¹,

Ramanaiah²,

Jhansi³

et al. 2019

jebmh

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“…DVI is rarely the primary cause. The correlation between the occurrence of insufficiency of GSV and PVs has been revealed [6,[14][15][16][17]. In many studies and our study, PVI was found to be most frequently associated with insufficiency in deep veins, GSV, SSV, anterior/posterior accessory GSV, and chronic DVT.…”

Section: Discussionmentioning

confidence: 77%

Frequency and Significance of Perforating Venous Insufficiency in Patients with Chronic Venous Insufficiency of Lower Extremity

Tolu¹,

Durmaz²

2018

Eurasian J Med

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Objective: The aim of this study was to reveal the frequency and impact of perforating venous insufficiency (PVI) in chronic venous insufficiency (CVI) of lower extremity (LE). Results: PVI was revealed in 27.5% (n=571) of LEs. Varicose veins (VVs) related with perforating vein (PV) were revealed in 44.7% of LEs (n=929). PVI was observed in 50.91% of patients with chronic deep venous thrombosis (DVT), 64.41% with deep venous insufficiency (DVI), 59.81% with great saphenous vein (GSV) insufficiency, 68.49% with small saphenous vein (SSV) insufficiency, 58.65% with accessory GSV insufficiency, and 58.77% with PV associated with VVs. There was a statistically significant relationship between PVI and chronic DVT, DVI, GSV, SSV, and accessory GSV insufficiency (p<0.001). A significant relationship was observed between the increase in PV diameter and the presence of PVI (p<0.001). Materials and MethodsConclusion: PVI is quite common in combined VI, and PV evaluation should be a part of LE venous system examination.

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“…However, CDUS at three or six months revealed partial recanalization of two GSVs and one SSV (5%). The median numbers of incompetent PVs and all PVs per limb were 2 (range, 0-7) and 8 (range, 3-16) preoperatively, whereas they were 3 (range, 0-7) and 8 (range, [3][4][5][6][7][8][9][10][11][12][13][14][15][16] postoperatively. EVLA did not change the proportion of incompetent PVs (preoperatively, 154/483 [32%] vs. postoperatively, 167/501 [33%], P = 0.173), but resulted in a significant increase in the total number of all PVs (preoperatively, n=483 vs. postoperatively, n=501; P = 0.036).…”

Section: Resultsmentioning

confidence: 99%

“…Hence, surgical eradication of superficial venous reflux offloads the deep venous compartment sufficiently to reduce dilatation and reverse perforator incompetence (11). However, saphenous surgery alone failed to correct incompetence of PVs in patients with superficial reflux that persists postoperatively, or when there is coexistent deep venous reflux (11,13). Statistical evaluation for correction of PV incompetency did not include multivariate analysis in those studies.…”

Section: Discussionmentioning

confidence: 99%

The fate of calf perforator veins after saphenous vein laser ablation

Özkan¹

2015

Diagn Interv Radiol

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M agnetic resonance imaging (MRI) is a widely used diagnostic tool for breast imaging in daily practice, with its high sensitivity to detect primary, recurrent, and residual breast cancer. Breast MRI serves as a reliable problem-solving tool in case of inconclusive mammography and ultrasonography (US) findings. It can be used to monitor the results of neoadjuvant chemotherapy and it may also contribute to preoperative evaluation of known lesions. With increasing use of MRI, number of breast lesions visible only on MRI and need for MRI-guided breast biopsy have increased (1). Second-look US can also be used for re-evaluation of these lesions; because US-guided biopsy is an easier, cheaper, and faster method if these lesions are visible on second-look US. According to a recently published meta-analysis, lesion detection rates with second-look US are variable in the literature (22.6%-82.1%). Mass lesions and malignant lesions were more likely to be detected at second-look US; average detection rates were 66% for masses, 29% for non-mass-like enhancement (NME) (2, 3). However, focal or NME lesions, which are less detectable than masses on second-look US, require MRI-guided biopsy in the majority of cases. According to the MRI-guided biopsy series in the literature, approximately 25%-35% of these lesions are diagnosed as malignant (4-9).Within this context, the aim of the present study is to assess the effectiveness of MRI-guided 10 Gauge (G) vacuum-assisted breast biopsies (VABB) performed at our institution and to examine the relationship between lesion characteristics and histopathologic results. B R E A S T I MAG I N G O R I G I N A L A R T I C L E PURPOSEWe aimed to assess the effectiveness of magnetic resonance imaging (MRI)-guided vacuum-assisted breast biopsy (VABB), evaluate and compare the characteristics and histopathologic findings of lesions, and overview the follow-up results of benign lesions. METHODSMRI findings and histopathologic results of breast lesions biopsied by MRI-guided VABB between 2013 and 2016 were retrospectively analyzed. MRI findings closely related with malignancy were investigated in particular. Follow-up results of benign lesions were evaluated. RESULTSMRI-guided VABB was applied to 116 lesions of 112 women. Of the lesions, 75 (65%) were benign, while 41 (35%) were malignant. Segmental (94%), clustered (89%), and clustered ring (67%) nonmass-like enhancement patterns were found to be more related with malignancy. False-negative rate of MRI-guided VABB was 12%, underestimation rate was 21%. One of the 54 followed-up benign lesions had a malignant result. CONCLUSION MRI-guided VABB is a reliable method for the diagnosis of breast lesions that are positive only on MRI. Follow-up results show that cancer detection rate is low for radio-pathologically concordant lesions. Further multicenter studies with larger patient population are needed to elucidate these results.You may cite this article as: Taşkın F, Soyder A, Tanyeri A, Öztürk VS, Ünsal A. Lesion characteristics, histopathologic r...

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Surgical Correction of Main Stem Reflux in the Superficial Venous System: Does It Improve the Blood Flow of Incompetent Perforating Veins?

Cited by 34 publications

References 38 publications

Clinicoetiopathological Study of Varicose Veins at a Tertiary Care Centre

Clinicoetiopathological Study of Varicose Veins at a Tertiary Care Centre

Frequency and Significance of Perforating Venous Insufficiency in Patients with Chronic Venous Insufficiency of Lower Extremity

The fate of calf perforator veins after saphenous vein laser ablation

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