The distribution and significance of varicosities in the saphenous trunks

Labropoulos, Nicos; Kokkosis, Angela A.; Spentzouris, Georgios; Gasparis, Antonios P.; Tassiopoulos, Apostolos K.

doi:10.1016/j.jvs.2009.08.069

Cited by 73 publications

(48 citation statements)

References 40 publications

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“…The present study is based on a very small casuistry: 19 limbs affected with isolated VR at the PR over a total of 207 affected with VR (9.1%) and over a total of 1,831 limbs subjected to previous surgery for primary varicose veins of the lower limbs (1%) in a period of 10 years (Table 1); such a small number is not so far from the ones reported in the literature. Other authors calculated that varicosities of the PR are combined with varicose veins from GSV incompetence with a frequency ranging from a minimum of 36.6% to a maximum of 46%, while incompetent veins at the PR represent the only source of reflux with a frequency ranging from a minimum of 3.7% up to a maximum of 28.5% of the cases [21][22][23][24][25][26]. VR at the PR represents a low percentage of the limbs affected with postoperative VR at the junctions (mean 21.6%; range: 3.7 -50) [1,2,24,27].…”

Section: Discussionmentioning

confidence: 99%

“…Neovascularization by neoangiogenesis is a physiological process following traumas, wounds, hematomas and thrombosis; therefore, it must not be surprising to find it in the thickness of the postoperative scar tissue [1,2]. On the other hand, the natural history of varicose evolution and disease progression can fully explain the appearance of new proximal and/or peripheral varices, as often happens in the primary disease [5,19,22,25].…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Causes and Treatment of Varicose Recurrence in the Popliteal Region

Corcos¹,

Pontello²,

Ferlaino³

et al. 2017

J Curr Surg

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Background: In a previous study of 1,081 limbs affected with varicose recurrence (VR) at the saphenofemoral junction (SFJ) and at the sapheno-popliteal junction (SPJ), the anatomical causes were investigated. VR appeared to be due to inadequate diagnosis and surgery; neoangiogenesis appeared to play a minimal role. The so-called cavernoma was secondary to reflux and consisted with a complex collateral circulation (CC). Only 52 of 1,081 (4.8%) studied limbs developed a VR at the SPJ, but the anatomical findings were poorly described. The aims of this study were: 1) to distinguish between VR at the SPJ and the ones caused by different sources of reflux, 2) the reliability of the preoperative DUS examination, and 3) the efficacy and safety of the treatment.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Causes and Treatment of Varicose Recurrence in the Popliteal Region

Corcos¹,

Pontello²,

Ferlaino³

et al. 2017

J Curr Surg

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show abstract

“…Third, even though it is a very rare cause, the clinical Wndings could be due to a vascular arterial or venous malformation. The manifestation of a venous disorder such as a varicose of the proximal great saphenous vein has to be considered since it presents with similar clinical signs [4,5].…”

Section: Discussionmentioning

confidence: 99%

A challenging hernia: primary venous aneurysm of the proximal saphenous vein

Tschuor

Dindo

Clavien

et al. 2012

Hernia

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Introduction Primary venous aneurysm is a rare, but essential consideration in the diVerential diagnosis of an inguinal and femoral hernia. Methods We report a case of a 43-year-old man who was referred for evaluation and treatment of a femoral hernia. Results The patient presented with a 3-month history of an asymptomatic tumor on his right upper inner thigh. Physical examination noted a non-tender, non-indurated tumor. Conclusion Surgical exploration demonstrated a primary venous aneurysm of the proximal saphenous vein.

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“…The significance of venous diameters in superficial CVD of the LL was previously described in several papers by N. Labropoulos. Here we mention a recent publication [18].…”

Section: Value Of Doppler Venous Pressurementioning

confidence: 99%

The Value of Doppler Venous Pressure Index in Chronic Venous Disease of the Lower Limbs

Spina¹,

Ferlaino²,

Pontello³

et al. 2015

J Curr Surg

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Background: The diagnostic evaluation of chronic venous disease (CVD) of the lower limbs (LLs) is mainly based on duplex ultrasound (DUS). Invasive venous pressure measurements (VPMs) are seldom performed in specialized centers with still controversial results. The noninvasive Doppler method has not been accepted as a validate method as the emerging values are influenced by several environmental and biological factors, and do not correspond to hydrostatic pressure. Therefore, these values will be defined as venous pressure index (VPI). In our previous experience, the VPI was accepted by patients in the daily practice, and the VPI was significantly correlated with C of C.E.A.P. (P < 0.05 -0.0001) and furnished useful hemodynamic information. This study was to verify the role and clinical implications of the VPI measurements in the pathophysiology and diagnostics of superficial CVD of the LL.

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The distribution and significance of varicosities in the saphenous trunks

Cited by 73 publications

References 40 publications

Causes and Treatment of Varicose Recurrence in the Popliteal Region

Causes and Treatment of Varicose Recurrence in the Popliteal Region

A challenging hernia: primary venous aneurysm of the proximal saphenous vein

The Value of Doppler Venous Pressure Index in Chronic Venous Disease of the Lower Limbs

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