Should the Incompetent Saphenous Vein be Stripped to the Ankle?

1986 ◽  
Vol 1 (1) ◽  
pp. 33-36 ◽  
Author(s):  
David Negus
Keyword(s):  
Recurrence Rate ◽  
Saphenous Vein ◽  
Varicose Vein ◽  
Neurological Complications ◽  
Saphenous Nerve ◽  
Neurological Symptoms ◽  
Injection Sclerotherapy ◽  
Long Saphenous Vein ◽  
Nerve Trauma

Long saphenous stripping from ankle to groin is followed by an unacceptably high (23-58%) instance of neurological complications resulting from saphenous nerve trauma. Sapheno-femoral ligation without stripping avoids this complication, but with a reported varicose vein recurrence rate of 60%. Stripping the incompetent long saphenous vein from groin to upper calf in 96 legs of 71 patients has been followed by saphenous neurological symptoms in 4.2%, with a recurrence rate of 12.5%, half of which were suitable for injection sclerotherapy.

Varicose vein surgery performed by a surgical care practitioner

2009 ◽  
Vol 24 (1) ◽  
pp. 43-45 ◽  
Author(s):  
N C Hickey ◽  
K Cooper
Keyword(s):  
Saphenous Vein ◽  
Varicose Vein ◽  
Surgical Care ◽  
Training Programme ◽  
Varicose Vein Surgery ◽  
Long Saphenous Vein

A surgical care practitioner (SCP) completed a structured training programme to perform all aspects of varicose vein surgery including sapheno-femoral disconnection and long saphenous vein stripping. Over a four-year period, she performed 152 groin procedures, closed 191 groin wounds and undertook phlebectomies on 91 legs with excellent results. A SCP can be used to improve theatre utilization and efficiency with no obvious drawbacks.

Results after Re-Operation in the Groin for Recurrent Varices of the Long Saphenous Vein

2002 ◽  
Vol 16 (3) ◽  
pp. 98-100 ◽  
Author(s):  
N. Jessen ◽  
N. Bækgaard
Keyword(s):  
Recurrence Rate ◽  
Saphenous Vein ◽  
Varicose Veins ◽  
Standard Procedure ◽  
University Hospital ◽  
Groin Dissection ◽  
Perforating Veins ◽  
Long Saphenous Vein ◽  
Perforating Vein

Objective: To evaluate the outcome of re-operation in the groin for recurrent varicose veins. Design: Retropective follow-up study Setting: Department of Vascular Surgery, Gentofte University Hospital, Copenhagen, Denmark. Methods and materials: Thirty-two patients with 43 operated legs. Operations were performed between January 1996 and the end of April 1997 and solely as a groin dissection; no stripping was done. Follow-up consisted of a clinical examination and duplex scanning with an ATL HDI 5000 scanner. Results: Sixteen cured legs, 17 with reflux beginning at mid-thigh, mainly a Hunter's perforating vein, and 10 with remaining reflux at the sapheno-femoral junction. Conclusion: Recurrence rate in the groin is acceptable. Stripping of the long saphenous vein is mandatory to bring down the recurrence rate from mid-thigh perforating veins. This is now standard procedure in our department.

Incidence and pattern of long saphenous vein duplication and its possible implications for recurrence after varicose vein surgery

2002 ◽  
Vol 89 (3) ◽  
pp. 323-326 ◽  
Author(s):  
N. E. Corrales ◽  
A. Irvine ◽  
C. L. McGuinness ◽  
R. Dourado ◽  
K. G. Burnand
Keyword(s):  
Saphenous Vein ◽  
Varicose Vein ◽  
Varicose Vein Surgery ◽  
Long Saphenous Vein

An assessment of the long saphenous vein for potential use as a vascular conduit after varicose vein surgery

1993 ◽  
Vol 18 (5) ◽  
pp. 836-840 ◽  
Author(s):  
William M. Abbott ◽  
Louis M. Fligelstone ◽  
Grace M. Carolan ◽  
Neil M. Pugh ◽  
Ahmed M. Shandall
Keyword(s):  
Saphenous Vein ◽  
Varicose Vein ◽  
Varicose Vein Surgery ◽  
Long Saphenous Vein ◽  
Potential Use

The anatomical relationship between the saphenous nerve and the great saphenous vein

2011 ◽  
Vol 26 (3) ◽  
pp. 114-118 ◽  
Author(s):  
L Veverková ◽  
V Jedlička ◽  
P Vlček ◽  
J Kalač
Keyword(s):  
Radiofrequency Ablation ◽  
Laser Therapy ◽  
Histological Examination ◽  
Saphenous Vein ◽  
Varicose Vein ◽  
Great Saphenous Vein ◽  
Lower Leg ◽  
Saphenous Nerve ◽  
Endovenous Laser Therapy ◽  
Anatomical Relationship

Objective Damage to the saphenous nerve (SN) has been a known complication during varicose vein surgeries. We tested whether a better knowledge of the anatomy of the SN and the great saphenous vein (GSV) can prevent such damage. Methods We conducted a morphological and histological examination on 86 limbs from 43 cadavers in order to analyse the anatomical interrelation between the SN and the GSV in the lower leg and we also measured the distance between the nerve and the vein in a sample of 42 sections from three parts of the lower leg. Results The anatomical relationship between the SN and the GSV is varied and the two structures run close to each other so a better knowledge of their anatomy in itself proved insufficient in preventing damage to the SN. Conclusion However, in the case of endovenous laser therapy and radiofrequency ablation tumescent anaesthesia decreases the risk of damage to the SN.

Endoscope-assisted management of primary varicose veins of the long saphenous vein and its tributaries

2004 ◽  
Vol 19 (1) ◽  
pp. 35-41 ◽  
Author(s):  
S-D Lin ◽  
Y-L Yang ◽  
S-S Lee ◽  
K-P Chang ◽  
T-M Lin ◽  
...  
Keyword(s):  
Saphenous Vein ◽  
Varicose Veins ◽  
Saphenous Nerve ◽  
Perforating Veins ◽  
Long Saphenous Vein ◽  
Primary Varicose Veins ◽  
The Mean ◽  
Assisted Management ◽  
Incision Wound

Objective: Primary varicose veins of the long saphenous vein and its tributaries were managed in 104 limbs of 101 patients with the assistance of endoscopic surgery. Methods: Patients were divided into four clinico-anatomical types according to normal veins involved in the varicosities. With good illumination and magnified monitor viewing by means of a surgical endoscope, the varicositic trunk, varicositic tributaries, incompetent perforating veins and healthy veins could be clearly visualized and identified. Through two or more access incisions (2.5-3.0 cm in length), the varicose veins were completely dissected, divided and removed. The incompetent perforating veins were clipped and divided. In all cases, the mean number of incisions in each limb was 3.0. Results: The most common cause of morbidity was maceration of the incision wound. Transient numbness may have presented at the dissected area, but there were no signs of injury to the saphenous nerve. Conclusions: There was very little possibility of recurrence, because no residual varicosities or incompetent perforating veins remained after this operation. Recurrence presented in only one case at follow up, three months postoperatively. Patients were satisfied with the minimal surgical scarring and complete absence of disfiguring varicosities in the limb.

Treatment of Venous Ulceration by Injection Sclerotherapy and Compression Hosiery: A 5-Year Study

1992 ◽  
Vol 7 (1) ◽  
pp. 23-26 ◽  
Author(s):  
E. Dinn ◽  
M. Henry
Keyword(s):  
Recurrence Rate ◽  
Varicose Vein ◽  
Venous Pressure ◽  
Previous History ◽  
Injection Sclerotherapy ◽  
Ulcer Recurrence ◽  
Compression Stockings ◽  
Venous Ulceration ◽  
Venous Ulcers ◽  
Graduated Compression Stockings

Objective: To determine whether the use of graduated compression stockings reduces the rate of recurrence of venous ulceration. Design: Prospective, closed, non-randomised study of 126 patients with a previous history of venous ulceration for five years. Setting: The Varicose Vein Clinic of Sir Patrick Dun's and Adelaide Hospitals. Patients: 126 patients attending the Varicose Vein Clinic who had undergone successful healing of venous ulcers by injection compression sclerotherapy. Intervention: All patients underwent clinical examination and venous pressure measurement, and were then fitted with graduated compression stockings. Those patients dropping out of the study (21) were used as a comparison group. Main outcome measure: The recurrence rate of venous ulcers. Results: At the end of the 5 year study period patients were divided into 3 groups – those who had ulcer recurrence (33), those who were free of ulcers (72), and those (21) who had dropped out of the study, the last group showing a higher recurrence rate than those who had worn stockings.

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