The Role of Postoperative Neovascularisation in Recurrence of Varicose Veins: from Historical Background to Today’s Evidence

Maeseneer, M. De

doi:10.1080/00015458.2004.11679555

Cited by 25 publications

(17 citation statements)

References 38 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…[1617] In literatures, many investigators stressed on the non-specialized surgeon as a factor of recurrence. [131819] Nearly, all of these studies reported the same incidence of recurrence in case of non-specialized surgeons 59.2%[118] to 70%.…”

Section: Discussionmentioning

confidence: 99%

Assessment of causes and patterns of recurrent varicose veins after surgery

2012

View full text Add to dashboard Cite

Background:Varicose vein surgery is characterized by high recurrence rate of 60% after 5 years of follow-up observation, and this is a disappointing finding, both for the patient and surgeon.Aim:To identify the possible causes and patterns of recurrent varicose veins.Materials and Methods:92 patients with recurrent varicose veins were enrolled in this study. Full detailed history, examination, and investigations were done.Results:30 patients had recurrence after saphenofemoral disconnection, 22 patients with recurrence after saphenofemoral disconnection and stripping below knee, 28 patients recurrence after saphenofemoral disconnection with stripping above knee and 12 patients recurrence after sapheno-popliteal disconnection with stripping. The double great saphenous veins, neovascularization and deep venous thrombosis before and after surgery were the most observed patterns of recurrence. The anatomical patterns of recurrence were more in leg then both leg and thigh pattern.Conclusion:Saphenofemoral ligation with below knee stripping has the least frequency of recurrence, while Trendlenberg operation alone has the highest.

show abstract

Section: Discussionmentioning

confidence: 99%

Assessment of causes and patterns of recurrent varicose veins after surgery

2012

View full text Add to dashboard Cite

show abstract

“…25 Expansion of collateral veins may also contribute to recurrent junctional incompetence. [19][20][21]26 The increasing use of duplex ultrasonography pre-and perioperatively during open surgery, endothermal ablation, and UGFS is likely to reduce the rate of tactical errors. 25 The risk of RVV may increase if the GSV is not stripped at all, or inadequately, although this remains controversial.…”

Section: Etiology Of Rvvmentioning

confidence: 99%

“…18 These new vessels arise in the granulation tissue along the track of previously stripped or ligated veins. 18,26 They form between the common femoral vein, the residual GSV stump, or its tributaries, and reconnect the incompetent veins to the superficial venous circulation of the leg. 26 These new blood vessels are found relatively frequently, even after correct functional ligation.…”

Section: Disease Progressionmentioning

confidence: 99%

Pathogenesis and etiology of recurrent varicose veins

Brake

Lim

Shepherd

et al. 2013

Journal of Vascular Surgery

View full text Add to dashboard Cite

show abstract

“…[25][26][27][28][29] The frequency of inguinal reflux associated with varicose recurrence in our study conforms to reported figures, 2-4,7-11 with a large amount of neovascularization. Recent publications have reported inguinal neovascularization as the main cause of varicose recurrence [40][41][42] whereas the main cause in older publications was an inadequate initial operation with failure to perform a flush saphenofemoral ligation with ligation and division of all tributaries (so-called extensive crossectomy), leaving a residual refluxing stump. [1][2][3]15,19 Performance of extensive crossectomy by most surgeons for almost 30 years has not reduced the frequency of procedures for varicose recurrence, which remains about 20%, [8][9][10][11]16 but has led to the appearance of a new "source" of varicose recurrence, replacing the residual stump with neovascularization.…”

Section: Discussionmentioning

confidence: 99%