The impact of direction of great saphenous vein total stripping on saphenous nerve injury

2012 ◽  
Vol 29 (1) ◽  
pp. 52-57 ◽  
Author(s):  
J C Papakostas ◽  
E Douitsis ◽  
I Sarmas ◽  
S Avgos ◽  
A Kyritsis ◽  
...  
Keyword(s):  
Clinical Evaluation ◽  
Saphenous Vein ◽  
Great Saphenous Vein ◽  
Clinical Signs ◽  
Saphenous Nerve ◽  
Electrophysiological Studies ◽  
Saphenous Nerve Injury ◽  
Group A ◽  
Group B ◽  
The Impact

Objectives To examine and compare the effects of downwards versus upwards total stripping of great saphenous vein (GSV) on saphenous nerve (SN) injury using clinical and electrophysiological studies. Methods Fifty patients with varicosities were equally and randomly assigned to undergo total, upwards stripping (group A) or downwards stripping (group B) of GSV during saphenectomy. SN function was measured with electroneurogram (ENG) before operation, two weeks and 12 weeks after, in order to record the incidence and type of SN injury. Clinical signs of SN injury were also recorded at the same time points. The results were statistically analysed. Results There were no statistical significant differences on the occurrence of SN injury between groups A and B at two and 12 weeks, respectively, as confirmed with ENG studies and clinical evaluation. There were no differences between the two techniques with regard to the type of SN injury. SN injury was significantly ameliorated from 34% to 6% during the first three months. Conclusion SN injury was equally observed after downwards or upwards total stripping of the GSV, as confirmed by ENG and clinical evaluation, with no differences in injury type. SN injury tends to be relieved through time in most patients.

Effects of eccentric compression by a crossed-tape technique after endovenous laser ablation of the great saphenous vein: a randomized study

2009 ◽  
Vol 24 (4) ◽  
pp. 151-156 ◽  
Author(s):  
M Lugli ◽  
A Cogo ◽  
S Guerzoni ◽  
A Petti ◽  
O Maleti
Keyword(s):  
Laser Ablation ◽  
Postoperative Pain ◽  
Saphenous Vein ◽  
Great Saphenous Vein ◽  
Randomized Study ◽  
Endovenous Laser Ablation ◽  
Eccentric Compression ◽  
Experienced Pain ◽  
Group A ◽  
Group B

Objectives To evaluate the effect of eccentric compression applied by a new crossed-tape technique on procedure-related pain occurrence after endovenous laser ablation (ELA) of the great saphenous vein (GSV). Methods From April 2005 to June 2006, 200 consecutive ELA procedures were randomized to receive (group A: 100) or not (group B: 100) an eccentric compression applied in the medial aspect of the thigh. Patients were scheduled for a seven-day examination to assess the level of pain experienced. Pain intensity was measured using a visual analogue scale giving a numerical grade from 0 (no pain) to 10 (worst pain ever). Results The intensity of postoperative pain was significantly reduced ( P < 0.001) in the eccentric compression group as compared with the non-compression one. Conclusions This technique of eccentric compression greatly reduces the intensity of postoperative pain after ELA of the GSV.

scholarly journals Altered velocity gradient in lower limb chronic venous disease

2018 ◽  
Vol 34 (1) ◽  
pp. 17-24
Author(s):  
Sergio Gianesini ◽  
Francesco Sisini ◽  
Erica Menegatti ◽  
Giovanni Di Domenico ◽  
Mauro Gambaccini ◽  
...  
Keyword(s):  
Saphenous Vein ◽  
Velocity Gradient ◽  
Great Saphenous Vein ◽  
Venous Drainage ◽  
Chronic Venous Disease ◽  
Velocity Variation ◽  
Venous Disease ◽  
Group A ◽  
The One ◽  
Group B

Background In physiology, velocity of the deep venous compartment is higher than the one in the saphenous compartment which is higher than the one in the tributaries. Considering that velocity variation is associated with changes in the pressure gradient, aim of the present study is to assess changes in venous kinetics in case of superficial chronic venous disease, so to provide further clues in venous drainage direction determination. Methods Venous ultrasound scanning was performed on 40 lower limbs of 28 chronic venous disease patients (C2-6Ep,As,Pr). Velocities were measured in three different venous segments: great saphenous vein at 2 cm above the origin of the incompetent tributary (Group-A). great saphenous vein at 2 cm below the origin of tributary (Group-B). tributary at 2 cm from its origin from the great saphenous vein (Group-C.) Results Diastolic time average velocity was higher in group-C (−21.3 ± 8.5 cm/s) than in group-A (−15.7 ± 5.2 cm/s; p = .0001) and group-B (−11.1 ± 2.9 cm/s; p = .0001), thus indicating an inversion of the physiological velocity gradient in chronic venous disease patients. Discussion Chronic venous disease presents a subverted velocity gradient. These data introduce objective hemodynamics data, paving the way for further investigation in venous drainage direction determination.

scholarly journals Impacts of Mycoplasma gallisepticum Vaccine on Newcastle Disease Vaccination and Protection in Parent Stock Flocks

1970 ◽  
Vol 24 (1) ◽  
pp. 62-64
Author(s):  
M Rayhan Faruque ◽  
Jens P Christensen
Keyword(s):  
Newcastle Disease ◽  
Haemagglutination Inhibition ◽  
Clinical Signs ◽  
Mycoplasma Gallisepticum ◽  
Post Mortem ◽  
Group A ◽  
Parent Stock ◽  
Group B ◽  
The Impact ◽  
Group D

The present study reports on the impact of Mycoplasma gallisepticum (MG) vaccination on vaccine respond and subsequent protection against Newcastle disease (ND) in parent stock flocks of Department of Livestock Services (DLS) using MG killed vaccine and conventional ND vaccines. Birds were grouped into four groups, each consisted of 50 birds from the same flock. Group A birds were vaccinated with ND, group B with ND and MG, group C with MG, and group D birds were kept as unvaccinated control. The parameters studied included detection of ND antibody, MG seroprevalance, mortality (%), and cause of death. The sera of groups B and C were sero-positive after administration of MG vaccine. The haemagglutination-inhibition (HI) titres of group A were higher than group B from week 4 after administration of MG vaccine to the birds of group B. The mortality was very low; one bird of group C died at week 5 due to traumatic injury and another bird of group D died at week 2 due to infectious bronchitis virus (IBV). After challenge, birds of groups A and B showed no clinical signs and normal post mortem findings were found. Birds of groups C and D showed clinical signs from day 3 and different pathological lesions were found in post mortem. The MG vaccination did not improve other parameters. Therefore, inoculation of MG INAC vaccine is not justified and is too expensive at farm levels.Keywords: Mycoplasma gallisepticum (MG) vaccine, Newcastle disease (ND) vaccination, Protection, MortalityDOI: http://dx.doi.org/10.3329/bjm.v24i1.1240   Bangladesh J Microbiol, Volume 24, Number 1, June 2007, pp 62-64 

scholarly journals The appropriate length of great saphenous vein stripping should be based on the extent of reflux and not on the intent to avoid saphenous nerve injury

2007 ◽  
Vol 46 (6) ◽  
pp. 1234-1241 ◽  
Author(s):  
Theodoros T. Kostas ◽  
Christos V. Ioannou ◽  
Michalis Veligrantakis ◽  
Constantinos Pagonidis ◽  
Asterios N. Katsamouris
Keyword(s):  
Nerve Injury ◽  
Saphenous Vein ◽  
Great Saphenous Vein ◽  
Saphenous Nerve ◽  
Saphenous Nerve Injury

A Prospective Study of Incidence of Saphenous Nerve Injury after Total Great Saphenous Vein Stripping

2008 ◽  
Vol 34 (10) ◽  
pp. 1333-1339 ◽  
Author(s):  
HANS C. FLU ◽  
PAUL J. BRESLAU ◽  
JAAP F. HAMMING ◽  
JAN WILLEM LARDENOYE
Keyword(s):  
Prospective Study ◽  
Nerve Injury ◽  
Saphenous Vein ◽  
Great Saphenous Vein ◽  
Saphenous Nerve ◽  
Saphenous Nerve Injury ◽  
A Prospective Study

scholarly journals The outcome of the Trendelenburg procedure with stripping vs. no stripping in the management of varicose veins

2020 ◽  
Vol 14 (03) ◽  
pp. 110-113
Author(s):  
Jibran Mohsin ◽  
Muhammad Haris Janjua ◽  
Jumana Fatima ◽  
Muhammad Usman Siddique ◽  
Muhammad Yasir Naseem ◽  
...  
Keyword(s):  
Recurrence Rate ◽  
Saphenous Vein ◽  
Great Saphenous Vein ◽  
Varicose Veins ◽  
Controlled Trial ◽  
Treatment Options ◽  
P Value ◽  
Chi Square ◽  
Group A ◽  
Group B

Background: Varicose veins is a common problem in Pakistan with multiple treatment options. One of its recommended and commonly performed surgical treatment includes the flush ligation of Saphenofemoral junction (Trendelenburg procedure) with stripping of great saphenous vein and avulsion of varicosities which is a cumbersome process. This study aims to evaluate the effect of stripping of great saphenous vein on the recurrence rate. Patients and methods: A randomized controlled trial was conducted in the Surgical Unit I, Services Hospital, Lahore over a period of 22 months from 20-09-2016 to 20-07-2018. Seventy patients were divided equally into two groups of 35 patients each i.e. Trendelenbrug procedure and avulsion of varicosities with stripping down to the knee, (Group A) versus Trendelenbrug procedure and avulsion of varicosities without stripping (Group B). Recurrence at 12 weeks was noted. SPSS version 17.0 was used to analyze data. Comparison of recurrence and stratified confounding factors such as age, gender, and BMI were assessed by the chi-square test (significant p-valve ≤0.05). Results: In group A, 32 out of 35 patients were male (91.43%) and 3 (8.57%) were female. While in group B, 31 out of 35 patients were male (88.87%) and 4 (11.43%) were female. Four out of 35 (11.43%) patients in group A whereas 6 (17.14%) group B patients (p-value=0.494) had a recurrence in the perforators below the knee at 12 weeks. Stratification (p-values) of recurrence rate with respect to age (<40 years: 0.41 versus ≥ 40 years:0.905), gender (female: p-value not applicable versus male: 0.96) and BMI was done (<25 kg/m2: 0.36 versus ≥ 25 kg/m2: 0.901) Conclusions: Stripping does not significantly affect the outcome of varicose vein surgery in relation to the recurrence rate at 12 weeks and recurrence was independent of age, gender, and BMI of patients.

scholarly journals Validation of Caprini’s Saphenous Ablation Scores

2021 ◽  
Vol 6 (3) ◽  
pp. 1-4
Author(s):  
Fakhry A ◽  
Keyword(s):  
Risk Assessment ◽  
High Risk ◽  
Saphenous Vein ◽  
Great Saphenous Vein ◽  
Varicose Vein Surgery ◽  
Moderate Risk ◽  
Vte Prophylaxis ◽  
Group A ◽  
Group B ◽  
Deep Vein

Introduction: Deep Vein Thrombosis (DVT) after varicose vein surgery is well recognized. Less well documented is Endovenous Heat-Induced Thrombosis (EHIT), thrombus extension into a deep vein after superficial venous thermo ablation. There is no current agreement on the routine use of thromboprophylaxis in patients undergoing varicose vein surgery. more data on the incidence of VTE, and the need for postoperative thromboprophylaxis are necessary to formulate evidence-based clinical guidelines. Aim of the study: Comparison of the use of Caprini's Saphenous Ablation Scores versus Standard Caprini’s Score for the prophylaxis of VTE in EVLA. Patients & Methods: 60 patients admitted to Royal Vascular Center, Alexandria - Egypt. From Jan. 1st, 2021, to June 30th 2021 divided in 3 groups. - Group A) Treated by ablation of Great saphenous vein and received VTE prophylaxis according to Caprini’s Saphenous Ablation Scores Fig 1-A & B -Group B) Treated by ablation of Great saphenous vein and received VTE prophylaxis according to Standard Caprini’s Risk Assessment Score for VTE Fig 2-A&B - C) Treated by ablation of Great saphenous vein without VTE prophylaxis Ablation was done using radial 1480 YAG laser fibers and Post-operative Duplex was done one day, 3 month and one-year. Results: Age: 35.6+0.2, 34.3+0.5 and 37.6+0.09 years in the 3 groups M/F: 6/14, 8/12 and 7/13. In group A) all patients showed absent reflux post operatively and in all follow up visits. Duplex examination revealed significant reflux in the great saphenous veins in all patients and ranged from 0.7:0.9 Sec. and mean duration 0.7+0.09 Sec. Vein diameter ranged from (0.6: 0.9,X+0.76 CM.) in group A), (0.6: 0.8,X+0.7 CM.) in group B) , (0.5: 0.8,X+0.65 CM.) in group C) According to Caprini’s saphenous score 14 patients 70% were classified as low risk, 4 patients 20% were of moderate risk and 2 patients 10% of high-risk in Group A, while applying standard Caprini’s Score in group B patients revealed: 6 patients 30% were of moderate risk and 14 patients 70% of high risk in Group B ) . 3 patients developed superficial thrombophlebitis 15% and one patient 5% developed left calf DVT in Group C, while no VTE events were shown in both A&B Groups Significant drop in CVSS in patients in the three groups. Conclusion: Risk assessment of patients undergoing varicose veins ablation should be done and applying Caprini’s saphenous score as a better alternative to Standard Caprini’s score for VTE prophylaxis and is considered a safe and cost-effective tool in VTE prevention in these patients.

A Prospective Study of Incidence of Saphenous Nerve Injury after Total Great Saphenous Vein Stripping

2008 ◽  
Vol 34 (10) ◽  
pp. 1333-1339 ◽  
Author(s):  
HANS C. FLU ◽  
PAUL J. BRESLAU ◽  
JAAP F. HAMMING ◽  
JAN WILLEM LARDENOYE
Keyword(s):  
Prospective Study ◽  
Nerve Injury ◽  
Saphenous Vein ◽  
Great Saphenous Vein ◽  
Saphenous Nerve ◽  
Saphenous Nerve Injury ◽  
A Prospective Study
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