| Great saphenous varicose vein surgery without saphenofemoral junction disconnection. | |
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MedLine Citation:
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PMID: 20473994 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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BACKGROUND: The aim of this case-control study was to determine whether preoperative duplex imaging could predict the outcome of varicose vein surgery without saphenofemoral junction (SFJ) disconnection. The duplex protocol included a reflux elimination test (RET) and assessment of the competence of the terminal valve of the femoral vein. METHODS: One hundred patients with chronic venous disease who had a positive RET result and an incompetent terminal valve were compared with 100 patients matched for age, sex, clinical class (Clinical Etiologic Anatomic Pathophysiologic (CEAP) class C2-C6) and disease duration, but who had a positive RET result and a competent terminal valve. All patients underwent ligation and proximal avulsion of the incompetent tributaries from the great saphenous vein trunk without SFJ disconnection. Clinical and duplex follow-up lasted for 3 years, and included Hobbs' clinical score. RESULTS: Of legs with a competent terminal valve, 100 per cent were rated as cured (Hobbs' class A or B) and 14.0 per cent developed recurrent varices. Patients with an incompetent terminal valve had significantly worse results: 29.0 per cent had Hobbs' class A or B and 82.0 per cent developed recurrence (P < 0.001). CONCLUSION: Preoperative duplex assessment of the terminal valve could be used to identify patients suitable for varicose vein surgery without the need for SFJ disconnection. |
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Authors:
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P Zamboni; S Gianesini; E Menegatti; G Tacconi; A Palazzo; A Liboni |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: The British journal of surgery Volume: 97 ISSN: 1365-2168 ISO Abbreviation: Br J Surg Publication Date: 2010 Jun |
Date Detail:
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Created Date: 2010-05-17 Completed Date: 2010-06-10 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 0372553 Medline TA: Br J Surg Country: England |
Other Details:
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Languages: eng Pagination: 820-5 Citation Subset: AIM; IM |
Affiliation:
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Vascular Diseases Centre, Department of Surgery, University of Ferrara, Corso Giovecca 203, 44100 Ferrara, Italy. zmp@unife.it |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Ambulatory Surgical Procedures Case-Control Studies Chronic Disease Female Femoral Vein / surgery* Humans Male Middle Aged Preoperative Care / methods Recurrence Saphenous Vein / surgery* Treatment Outcome Ultrasonography, Doppler, Duplex Varicose Veins / surgery*, ultrasonography Venous Insufficiency |
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