| Doppler ultrasound detection of saphenofemoral and saphenopopliteal incompetence and operative venography to ensure precise saphenopopliteal ligation. | |
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MedLine Citation:
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PMID: 6586167 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Recurrent varicose veins may result from inadequate assessment or inadequate surgery. In this study, 110 consecutive patients (165 limbs) were assessed pre-operatively for the presence or absence of reflux at the saphenofemoral (SF) and saphenopopliteal (SP) junctions by clinical assessment and by Doppler ultrasound. The pre-operative results where then compared with findings at the time of surgery. Doppler ultrasound as a means of predicting SF and SP incompetence was superior to clinical assessment. Doppler Doppler ultrasound detected 100% (two false positives) of incompetent SF junctions, and 100% (six false positives) of incompetent SP junctions, compared to the clinical detection of 72% (no false positives) and 64% (five false positives), respectively. Short saphenous venography was performed in 36 limbs in which SP reflux was suspected on clinical assessment and/or by Doppler ultrasound. It proved valuable in demonstrating the level and mode of termination of the short saphenous vein. This guided the placement of the skin incision. |
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Authors:
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M C Hoare; J P Royle |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: The Australian and New Zealand journal of surgery Volume: 54 ISSN: 0004-8682 ISO Abbreviation: Aust N Z J Surg Publication Date: 1984 Feb |
Date Detail:
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Created Date: 1984-06-07 Completed Date: 1984-06-07 Revised Date: 2004-11-17 |
Medline Journal Info:
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Nlm Unique ID: 0373115 Medline TA: Aust N Z J Surg Country: AUSTRALIA |
Other Details:
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Languages: eng Pagination: 49-52 Citation Subset: IM |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Doppler Effect Femoral Vein / physiopathology Humans Ligation Popliteal Vein / physiopathology, surgery* Recurrence Saphenous Vein / physiopathology, radiography, surgery* Ultrasonography* Varicose Veins / diagnosis*, physiopathology |
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