Document Detail

Doppler ultrasound detection of saphenofemoral and saphenopopliteal incompetence and operative venography to ensure precise saphenopopliteal ligation.
MedLine Citation:
PMID:  6586167     Owner:  NLM     Status:  MEDLINE    
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.
M C Hoare; J P Royle
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Publication Detail:
Type:  Journal Article    
Journal Detail:
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:
Created Date:  1984-06-07     Completed Date:  1984-06-07     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0373115     Medline TA:  Aust N Z J Surg     Country:  AUSTRALIA    
Other Details:
Languages:  eng     Pagination:  49-52     Citation Subset:  IM    
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MeSH Terms
Doppler Effect
Femoral Vein / physiopathology
Popliteal Vein / physiopathology,  surgery*
Saphenous Vein / physiopathology,  radiography,  surgery*
Varicose Veins / diagnosis*,  physiopathology

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