Surgical Repair of the Incompetent Femoral Vein Valve

Kistner, Robert L.

doi:10.1001/archsurg.1975.01360170076010

Cited by 218 publications

(83 citation statements)

References 8 publications

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“…These findings correlate well with the findings of Shankar et al 5 The reason for the highest incidence of varicose veins at this age might be due to excess physical activities in man's life. 6 The incidence is less before 20 years which can be because of greater elasticity of skin and veins and active muscular movement. The hydrostatic pressure within the venous system gets increased when the person attains his full height and hence, the frequency increases after puberty.…”

Section: Discussionmentioning

confidence: 99%

Study of risk factors and clinical assessment of lower limb varicose vein in a tertiary care hospital

Shafiuddin

Bhavanishankar

2017

Int Surg J

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Background: Lower limb varicose veins are one of the common peripheral vascular diseases which requires treatment for leading the productive life without compromise. The present study was undertaken to evaluate the risk factors and various clinical aspects of varicose veins of lower limb of the patients.Methods: The clinical study involved 21 patients with lower limb varicose veins admitted in the surgical wards of Karnataka Medical College Hospital Hubli, during the period from January 1990 to February 1992. Clinical proforma was prepared before starting the study and based on this proforma the data was collected and analyzed.Results: Majority of the patients (42.8%) were under the age group of 21-30 years. Male predominance (95.3%) was seen. Majority (85.7%) of the patient’s occupation was involved in prolonged periods of standing and violent muscular efforts. The most common symptom was pain and prominent veins noted in 10 (47.64%) patients. varicosities were distributed equally in both the limbs (42.86%). Long saphenous vein involvement was seen in 18 (85.72%) cases. Incompetent perforator was observed in 20 cases.Conclusions: We conclude that occupations involving prolonged periods of standing and violent physical effort are the major contributing factors for prevalence of varicose veins. Hence care to be taken to avoid its incidence by doing the physical activities that can improve the blood circulation and muscle tone in lower limbs.

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Section: Discussionmentioning

confidence: 99%

Study of risk factors and clinical assessment of lower limb varicose vein in a tertiary care hospital

Shafiuddin

Bhavanishankar

2017

Int Surg J

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“…In 27 limbs with primary deep venous insufficiency direct valve repair was performed according to the method described by Kistner (4). Briefly, the procedure involves a venotomy exactly in the anterior commissure of the valve followed by shortening of the two cusps using fine monofilament sutures and magnification.…”

Section: Methodsmentioning

confidence: 99%

“…Prolaps of the valves may occur due to elongation of the cusp margins resulting in incomplete closure of the valves and a retrograde flow (4). This defect is presumably congenital and leads to early development of varicose veins, sometimes already in the adolescence (2).…”

Section: Pathophysiology Of Deep Venous Incompetencementioning

confidence: 99%

“…Recent interest in direct vein valve surgery has been due to the fact that conventional treatment of the sequelae of deep venous insufficiency results in a high failure rate. The introduction of methods for valve reconstruction (4,5,8) has implied new possibilities for active treatment. These methods are based on the assumption that the construction of a competent valve in the femoral or popliteal vein will reduce ambulatory venous hypertension o f the limb.…”

Section: Introductionmentioning

confidence: 99%

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Surgical Reconstruction of Incompetent Deep Vein Valves

Eriksson

Almgren

1988

Upsala Journal of Medical Sciences

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Conventional treatment of deep venous insufficiency results in a rather high failure rate. The introduction of methods for surgical repair of incompetent deep vein valves has implied new possibilities for active treatment and has added increased knowledge to venous pathophysiology. This study summarizes our clinical experience with surgical reconstruction of deep vein valves during a nine-year period.

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“…Sabe-se que hoje tais métodos foram abandonados porque, além de serem ineficientes, podem piorar ainda mais o quadro de hipertensão venosa. Porém, em 1958, Palma & Esperon obtiveram sucesso com o enxerto fêmoro-femoral cruzado para tratar uma veia ilíaca ocluída e, no ano de 1968, Kistner realizou a primeira reconstrução valvular, dando início a uma nova era na abordagem de um antigo problema 14,15 .…”

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Cirurgia de varizes: história e evolução

Medeiros¹

2006

J. vasc. bras.

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ResumoComo a safenectomia é uma cirurgia bem estabelecida, a utilização de um método pouco invasivo para obter os mesmos efeitos indica que os benefícios esperados a curto e médio prazo devem prevalecer sobre os riscos previstos. Entretanto, em se tratando de uma doença muito prevalente na população mundial, há grande preocupação por parte dos órgãos de saúde governamentais e das sociedades científicas correlacionadas sobre esse assunto, de tal forma que os argumentos sobre novas modalidades de tratamento devem estar bem fundamentados, inclusive para aceitação pelo público em geral.Com o intuito de se avaliar efetivamente novos dispositivos, devem ser conduzidos estudos em pacientes e com grupos controles que sejam bem delineados. É preciso submeter qualquer projeto de pesquisa sobre o assunto à apreciação do comitê de ética na instituição em que o trabalho será conduzido para aprovação prévia. Palavras-chave:Insuficiência venosa, tratamento, fotocoagulação a laser. AbstractSince great saphenous vein stripping is a well established surgery, the use of a minimally invasive method to obtain the same effects indicates that short and medium-term benefits should prevail over expected risks. However, because it is a very common disease in the world population, there is great concern about this subject by government health institutions and correlated scientific societies. Therefore, the arguments about new treatment modalities must be well based, including to gain acceptance by the general public.To effectively evaluate new devices, there must be well designed clinical studies with groups and controls. All projects about this matter must be submitted to the appreciation of an ethics committee at the institution where the research will be carried out for previous approval.

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Surgical Repair of the Incompetent Femoral Vein Valve

Cited by 218 publications

References 8 publications

Study of risk factors and clinical assessment of lower limb varicose vein in a tertiary care hospital

Study of risk factors and clinical assessment of lower limb varicose vein in a tertiary care hospital

Surgical Reconstruction of Incompetent Deep Vein Valves

Cirurgia de varizes: história e evolução

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