Document Detail

Surgical correction of main stem reflux in the superficial venous system: does it improve the blood flow of incompetent perforating veins?
MedLine Citation:
PMID:  14509507     Owner:  NLM     Status:  MEDLINE    
Fifty-seven limbs (33 patients) with chronic venous ulceration were selected for this study. The criterion for selection was the presence of isolated superficial venous reflux. Long saphenous vein reflux alone was observed in 39 (68.4%) limbs, short saphenous vein reflux alone in 4 (7.0%) limbs, and both long and short saphenous vein reflux in 14 (24.6%) limbs. Surgical correction of the refluxing saphenous system has allowed 46 (80.7%) ulcers to heal. The healing rates for all the ulcerated legs that had long saphenous vein reflux, short saphenous vein reflux, or a combination of the two were 85.4%, 75.0%, and 66.7%, respectively. Incompetent perforating veins (IPVs) were observed in 51 (89.5%) limbs; 74.5% of them regained their competence postoperatively (189 preoperatively vs. 59 postoperatively; p < 0.001), with a significant reduction in their mean diameter (p < 0.001). IPVs remained in 13 (25.5%) limbs: 3 limbs with persistent reflux in the tributaries of the saphenous system, 1 limb with a fixed ankle joint, and nine limbs with no evidence of macrovascular venous disease. In patients with a competent deep venous system, reflux in perforating veins is often abolished after eradication of saphenous reflux.
Abdulrahman Saleh Al-Mulhim; Hamdoun El-Hoseiny; Faisal Mohammed Al-Mulhim; Omar Bayameen; Mohamad Mahmoud Sami; Khalid Abdulaziz; Mahmoud Raslan; Ali Al-Shewy; Majid Al-Malt
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Publication Detail:
Type:  Comparative Study; Journal Article    
Journal Detail:
Title:  World journal of surgery     Volume:  27     ISSN:  0364-2313     ISO Abbreviation:  World J Surg     Publication Date:  2003 Jul 
Date Detail:
Created Date:  2003-09-25     Completed Date:  2003-10-23     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  7704052     Medline TA:  World J Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  793-6     Citation Subset:  IM    
Department of Surgery, King Fahad Hospital, PO Box 1164 Hofuf, Al-Hassa 31982, Saudi Arabia.
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MeSH Terms
Cohort Studies
Follow-Up Studies
Leg / blood supply*
Middle Aged
Regional Blood Flow / physiology
Saphenous Vein / physiopathology,  surgery*
Severity of Illness Index
Treatment Outcome
Ultrasonography, Doppler, Duplex / methods
Varicose Ulcer / surgery*,  ultrasonography*
Vascular Patency
Vascular Surgical Procedures / methods*
Venous Insufficiency / complications,  ultrasonography*
Wound Healing / physiology

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

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