Document Detail


Great saphenous varicose vein surgery without saphenofemoral junction disconnection.
MedLine Citation:
PMID:  20473994     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
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.
Authors:
P Zamboni; S Gianesini; E Menegatti; G Tacconi; A Palazzo; A Liboni
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The British journal of surgery     Volume:  97     ISSN:  1365-2168     ISO Abbreviation:  Br J Surg     Publication Date:  2010 Jun 
Date Detail:
Created Date:  2010-05-17     Completed Date:  2010-06-10     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0372553     Medline TA:  Br J Surg     Country:  England    
Other Details:
Languages:  eng     Pagination:  820-5     Citation Subset:  AIM; IM    
Affiliation:
Vascular Diseases Centre, Department of Surgery, University of Ferrara, Corso Giovecca 203, 44100 Ferrara, Italy. zmp@unife.it
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MeSH Terms
Descriptor/Qualifier:
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

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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