Causes of recurrent lower limb varicose veins after surgical interventions in 141 limbs – Five-year retrospective analysis of two centers

Hua, W.R.; Yi, Meng Qing; Jun, Wu; Xing, Jinchun; Xuan, Liu Zhao; Li, Bo

doi:10.1177/1708538113484023

Cited by 4 publications

(1 citation statement)

References 26 publications

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“…Because it is well-known that perforating veins are the most frequent reason for recurrent operations in the patients with venous insufficiency, 5,6 perforating veins larger than 2 mm with a reflux longer than 4 seconds were ligated.…”

Section: Concomitant Operationsmentioning

confidence: 99%

Repair of Saphenofemoral Transition: Reşat Operation for Patients With Venous Reflux

Alat

2018

International Surgery

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Objective: To develop a new solution superior to the current surgical interventions in patients with venous reflux in the great saphenous vein (GSV). Materials and Methods: Patients with the symptoms of venous incompetence in their legs like pain, edema, and cramp were also examined with color Doppler ultrasonography (CDU). One hundred ninety-one extremities with venous reflux at the saphenofemoral transition (SFT) were subjected to surgery over 8 years. A newly designed operation, the Res at operation, was performed in all of the patients. The Res at Operation was performed only in the patients with continuous reflux at their saphenofemoral transition during the entire Valsalva maneuver. The follow-up time spanned more than 8 years. The patients' complaints, physical examinations, and CDU findings were evaluated. Results: All of the patients had continuous reflux at the SFT for the duration of the entire Valsalva maneuver preoperatively. However, 67.88% of the patients had no reflux postoperatively (P , 0.001). Additionally, 95.76% of the patients recovered to different degrees in the early postoperative period ultrasonographically (P , 0.001). All of the patients reported being satisfied with the result in the early postoperative period (P , 0.001). In the late postoperative period, although the CDU reports of some patients showed reflux at the GSV, no patient complained about their condition. Conclusion: The Res at operation is a well-tolerated operation and reconstitutes the saphenofemoral transitions successfully. Its early and late postoperative results are satisfactory. The Res at operation should be the first-choice surgical treatment in patients with venous reflux at the saphenofemoral transition.

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Section: Concomitant Operationsmentioning

confidence: 99%