Saphenofemoral junction anatomical variation may contribute to varicose vein recurrence.
In: British Journal of Surgery, Jg. 90 (2003-06-02), S. 39-39
Online
academicJournal
Zugriff:
Aims: The majority of those who require surgery for recurrent varicose veins (RVV) (84% in our series) show evidence of inadequate primary long saphenous vein (LSV) surgery. This may be due to failure to appreciate the wide variability in the anatomy of the saphenofemoral complex. Methods: We recorded the anatomy of the saphenofemoral complex (diagrammatically) prospectively in 500 consecutive legs undergoing groin exploration for primary varicose veins. The number of primary tributaries to the LSV, duplex systems (two trunks extending to or beyond the knee) and junctional tributaries (deep to the deep fascia) were recorded. The relationship of the external pudendal artery to the LSV was also recorded. Results: See Table below. The LSV was duplex in 99 (19·8%). The number of primary tributaries varies widely, 30·8% had branches arising from the junction with 5·4% having 2 or more. The external pudendal artery crosses anterior to the LSV in 15·6% of patients. In 4%, it passed posterior to one branch and anterior to another branch of a duplex LSV rendering identification of the second trunk particularly difficult. Conclusion: The anatomy of the saphenofemoral junction is highly variable. Failure to appreciate these variations may account for a significant proportion of recurrences. [ABSTRACT FROM AUTHOR]
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Saphenofemoral junction anatomical variation may contribute to varicose vein recurrence.
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Autor/in / Beteiligte Person: | Donnelly, M.P. ; McCormack, P. ; Tierney, S. ; Feeley, T.M. |
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Zeitschrift: | British Journal of Surgery, Jg. 90 (2003-06-02), S. 39-39 |
Veröffentlichung: | 2003 |
Medientyp: | academicJournal |
ISSN: | 0007-1323 (print) |
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