A Prospective Study of Cutaneous Nerve Injury Following Long Saphenous Vein Surgery

Abstract

This study demonstrates the frequency of nerve injury during primary great saphenous vein surgery. It will be useful for clinicians providing informed consent and may provide a benchmark for comparison with newer techniques.

Endovenous therapies of lower extremity varicosities: A meta-analysis

“…Other complications of surgery are nerve injury (7%) and deep vein thrombosis (Ͻ2%). [31][32][33][34][35][36] Because the sclerosant enters the deep venous system, UGFS may be associated with several specific complications such as migraine, temporal brain ischaemia, and scotomas, especially among patients with a foramen ovale. 37 As in surgery, most patients will experience ecchymosis and pain (often described as "a pulling chord") for 1 to 2 weeks after endovenous therapies.…”

The appropriate length of great saphenous vein stripping should be based on the extent of reflux and not on the intent to avoid saphenous nerve injury

“…Nevertheless, stripping of the GSV to the knee level significantly reduces the risk of SNI, however, it does not eliminate it, as there is evidence that this could occur in a rate ranging from 5% to 27%. 1,6 Furthermore, recent studies have shown that the risk for trauma to this nerve should not be considered as a major deterrent to avoid a whole length GSV stripping as its adverse symptoms are gradually regressed postoperatively. 6,7 Motivated by the above contradicting opinions, we performed a prospective study in order to investigate the effect of stripping the below knee GSV segment on varicose vein recurrence and any disability induced after SNI during a 5-year period.…”

“…1,6 Furthermore, recent studies have shown that the risk for trauma to this nerve should not be considered as a major deterrent to avoid a whole length GSV stripping as its adverse symptoms are gradually regressed postoperatively. 6,7 Motivated by the above contradicting opinions, we performed a prospective study in order to investigate the effect of stripping the below knee GSV segment on varicose vein recurrence and any disability induced after SNI during a 5-year period. This study is based on current guidelines for evaluating the treatment of chronic venous disease (CVD) 8,9 and presents a different approach to this controversial issue in the Journal of Vascular Surgery.…”

Systematic review, network meta-analysis and exploratory cost-effectiveness model of randomized trials of minimally invasive techniquesversussurgery for varicose veins

“…2 However, ligation and stripping has been associated with a range of adverse effects such as wound infection, haematoma, lymph leaks, pain, scarring, nerve injury, Deep Vein Thrombosis (DVT) and long post-operative recovery. [4][5][6][7] Conventional non-foam sclerotherapy, is considered faster but less effective than surgical stripping (hereafter, "surgery").…”