The short saphenous vein is more and more often held responsible for the onset and development of varicose conditions and post-operative recurrence. In order to perform complete posterior saphenectomy account must be taken of the frequent anatomical variations in the outflow of this vein. A method of intra-operative phlebography of the short saphenous vein has been developed. The results confirm the high rate of the anatomical variations. Intra-operative phlebography facilitates complete posterior saphenectomy without negative effects in terms of surgical trauma and cosmetic results, thanks to the new technical developments.
The Authors experience in the surgical treatment of varicose veins of the lower limbs in the last 15 years, performed on 1500 cases, show that varicose recurrence may be nearly always attributed to unrecognised anatomical variations in the venous system. Methods of preoperative and intraoperative diagnosis are described and the most frequent variants observed are presented and their significance are discussed.
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