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.

scholarly journals Endovenous laser therapy and radiofrequency ablation of the great saphenous vein: Analysis of early efficacy and complications

2005 ◽  
Vol 42 (3) ◽  
pp. 488-493 ◽  
Author(s):  
Alessandra Puggioni ◽  
Manju Kalra ◽  
Michele Carmo ◽  
Geza Mozes ◽  
Peter Gloviczki
Keyword(s):  
Radiofrequency Ablation ◽  
Laser Therapy ◽  
Saphenous Vein ◽  
Great Saphenous Vein ◽  
Endovenous Laser Therapy

Endovenous laser therapy of the incompetent great saphenous vein

2006 ◽  
Vol 111 (1) ◽  
pp. 85-92 ◽  
Author(s):  
S. Petronelli ◽  
R. Prudenzano ◽  
L. Mariano ◽  
F. Violante
Keyword(s):  
Laser Therapy ◽  
Saphenous Vein ◽  
Great Saphenous Vein ◽  
Endovenous Laser Therapy

Long-term results after radiofrequency ablation in 1998

Phlebologie ◽  
2014 ◽  
Vol 43 (04) ◽  
pp. 197-200
Author(s):  
A. Brunner ◽  
J. Noppeney ◽  
T. Noppeney
Keyword(s):  
Radiofrequency Ablation ◽  
Clinical Examination ◽  
Saphenous Vein ◽  
Great Saphenous Vein ◽  
Lower Leg ◽  
Entire Length ◽  
Long Term Results ◽  
The Mean

Summary Introduction: In 1998, radiofrequency ablation (VNUS Closure Plus™) was authorised in Germany and Europe for the treatment of superficial reflux. We participated in a clinical registry set up by the manufacturing company in 1998. The aim of this retrospective paper was to analyse the long-term results after radiofrequency ablation. Materials, methods and patients: In 1998, we operated on twelve patients (8 women, 4 men). In accordance with the concept of standard vein stripping surgery, all endovenous ablations were combined with crossectomy or ligature of the saphenopopliteal junction. Each vein was thermally ablated over its entire length and no tumescent anaesthesia was performed. The mean age of the twelve patients was 44.9 years. On ten occasions, the entire length of the great saphenous vein was treated, on one occasion the great saphenous vein at the level of the lower leg and on one occasion the entire length of the small saphenous vein. The mean duration of surgery was 80 minutes. Results: The follow-up period was 3 to 168 months, with a mean duration of 80 months. Six patients were followed up for longer than 120 months. In eight cases, the follow-up examination was performed using duplex ultrasound, in two cases using clinical examination and non-invasive testing, in one case using clinical examination and in one case via a telephone interview.The most frequent perioperative complication, occurring in six cases, was hypaesthesia at the medial malleolus or lower leg. There was one case of perioperative thrombophlebitis of a lateral branch in the lower leg and one case of a third-degree thigh burn with subsequent infection of the great saphenous vein canal. No deep vein thrombosis or pulmonary embolism occurred in any of the operated patients.Of the eleven great saphenous veins treated, one recanalised after 14 months, the others had closed or were no longer detectable on ultrasound. The small saphenous vein treated was also no longer detectable.In one patient, a major recurrence at the saphenofemoral junction with recurrent lateral branches in the thigh and lower leg were determined 168 months after surgery. No recurrent varicosis was determined in the other patients.

Natural History of the Great Saphenous Vein Stump Following Endovenous Laser Therapy

2008 ◽  
Vol 42 (4) ◽  
pp. 348-351 ◽  
Author(s):  
Irina Pleister ◽  
Julie Evans ◽  
Patrick S. Vaccaro ◽  
Bhagwan Satiani
Keyword(s):  
Natural History ◽  
Laser Therapy ◽  
Saphenous Vein ◽  
Great Saphenous Vein ◽  
Endovenous Laser Therapy ◽  
History Of

scholarly journals Short Term Fate of Great Saphenous Vein after Radiofrequency Ablation for Varicose Veins

2017 ◽  
Vol 13 (3) ◽  
pp. 234-237
Author(s):  
R.M. Karmacharya ◽  
M Devbhandari ◽  
Y.R. Shakya
Keyword(s):  
Radiofrequency Ablation ◽  
Saphenous Vein ◽  
Varicose Vein ◽  
Doppler Ultrasonography ◽  
Distal Part ◽  
Great Saphenous Vein ◽  
Short Term ◽  
Vein Type ◽  
Saphenofemoral Junction

Background Radiofrequency ablation of varicose vein have gained popularity compared to conventional surgery due to comparable long term results in addition to definite immediate superiorities. This modality has been started in Nepal since August 2003 and the study on short term fate of ablated vein segment confirms the anatomical benefit in addition to the clinical benefit.Objective To analyze short term fate of segment of great saphenous vein that has been treated by Radiofrequency ablation in terms of occlusion of saphenofemoral junction and absence of recanalisation on Doppler ultrasonography finding done at 3-6 months postoperative period.Method Total 81 cases subjected for radiofrequency ablation of great saphenous vein in thigh segment during August 2013 – September 2014 were followed up in between 3 to 6 months by Doppler ultrasonography. The findings were classified into type 1 to 4 results based on the anatomic closure of saphenofemoral junction and absence of recanalisation on treated segments.Result There were total 81 cases with 54.3% female and 45.7% male patients. Mean short term follow up duration was 4.9 months (S.D. 1.1 months). Great Saphenous Vein was cannulated most frequently in between 5 cm above knee to 5 cm below knee. Mean number of Radio Frequency Ablation (RFA) segments were 6.6 (SD=3.1). There was complete occlusion (Type 1 results) in 51 cases (63.0%). In 24 cases (29.6%) there was competent saphenofemoral junction with partial recanalisation in distal part of Great Saphenous Vein (GSV) (Type 2 results). In six cases (7.4%) there was incompetent saphenofemoral junction with partial recanalisation in distal part of Great Saphenous Vein (Type 3 results). There were no cases with incompetent saphenofemoral junction with complete recanalisation in distal part of Great Saphenous Vein (Type 4 results).Conclusion Radio Frequency Ablation for varicose vein, besides making clinical improvements, is also associated with good anatomical results.

scholarly journals Ablation of the great saphenous vein with nontumescent n-butyl cyanoacrylate versus endovenous laser therapy

2017 ◽  
Vol 5 (2) ◽  
pp. 210-215 ◽  
Author(s):  
İsmail Koramaz ◽  
Helin El Kılıç ◽  
Fatih Gökalp ◽  
Macit Bitargil ◽  
Nilüfer Bektaş ◽  
...  
Keyword(s):  
Laser Therapy ◽  
Saphenous Vein ◽  
Great Saphenous Vein ◽  
Endovenous Laser Therapy

scholarly journals Sartorial Branch of Saphenous Nerve: Anatomical Relationship with Bony Landmarks and Great Saphenous Vein

2013 ◽  
Vol 31 (2) ◽  
pp. 432-437 ◽  
Author(s):  
Amornrat Tothonglor ◽  
Sithiporn Agthong ◽  
Thanasil Huanmanop ◽  
Vilai Chentanez
Keyword(s):  
Saphenous Vein ◽  
Great Saphenous Vein ◽  
Saphenous Nerve ◽  
Bony Landmarks ◽  
Anatomical Relationship

scholarly journals The hemodynamic impact of the bidirectional flow within calf perforators and conductive veins in varicose vein disease

2020 ◽  
Vol 5 (3) ◽  
Author(s):  
Cestmir Recek ◽  
Keyword(s):  
Saphenous Vein ◽  
Varicose Vein ◽  
Great Saphenous Vein ◽  
Diastolic Pressure ◽  
Venous Pressure ◽  
Lower Leg ◽  
Hemodynamic Assessment ◽  
Pump Activity ◽  
Bidirectional Flow ◽  
Vein Disease

The hemodynamic assessment of the bidirectional flow within calf perforators and in the conductive veins in varicose vein disease is presented. The bidirectional streaming within calf perforators is induced by the changing polarity of the systolic and diastolic pressure gradients arising during calf pump activity between the deep veins and the saphenous system of the lower leg, as documented by simultaneous pressure measurements in the posterior tibial vein and the great saphenous vein. This bidirectional flow makes the deep and superficial veins of the lower leg conjoined vessels. The vector of the bidirectional streaming in varicose vein patients is oriented inward, into the deep veins. The enlarged calf perforators are the consequence of the saphenous reflux; after elimination of saphenous reflux the diameter of calf perforators diminishes significantly. Results of venous pressure, plethysmographic and electromagnetic flow measurements rebut the still prevalent opinion that the outward flow within calf perforators is a reflux. There is an up-and-down flow in the conductive veins during calf pump activity with a prevailing systolic centripetal (orthograde) flow in the popliteal/femoral axis and a diastolic centrifugal (retrograde) flow in the incompetent great saphenous vein. The popliteal vein represents actually the drain pipe of the calf muscle pump. The ambulatory venous pressure gradient arising during the diastolic phase of the calf pump activity resembles the diastolic pressure difference between the aorta and the left ventricle.

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