Early and late complications of silicone patch saphenoplasty at the saphenofemoral junction

Maeseneer, M. De; Vandenbroeck, C.P.; Lauwers, Patrick; Hendriks, Jeroen; Hert, Stefan De; Schil, Paul E. Van

doi:10.1016/j.jvs.2006.08.012

Cited by 24 publications

(19 citation statements)

References 20 publications

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“…18 Complications occurred in 19.5% of limbs after redo surgery, of which half were lymphatic in nature. 19 This non-randomized study showed a benefit for the use of silicone patch saphenoplasty, but the groups were later used as historical controls in a further study examining the benefit of closure of the cribriform fascia after SFJ ligation for primary varicose veins. 20 Closure of the cribriform fascia was then proposed as an alternative option to prevent postoperative neovascularization as this was reduced at one year.…”

Section: Closing the Groin Dissectionmentioning

confidence: 99%

Standard varicose vein surgery

Perkins

2009

Phlebology

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This article examines the practice of standard varicose vein surgery including sapheno-femoral and sapheno-popliteal ligation, perforator surgery and surgery for recurrent varicose veins. The technique of exposure of the sapheno-femoral junction and the sapheno-popliteal junction is outlined and advice given on avoidance of complications for both. The evidence regarding methods of closure over the ligated sapheno-femoral junction is examined as is the requirement for stripping and the use of different types of stripper. The requirement to strip the small saphenous vein and the extent of dissection necessary in the popliteal fossa is also examined. Complications of standard varicose vein surgery are outlined. The frequency of wound infection, nerve injury, vascular injury and venous thromboembolism are listed and strategies to avoid these complications are examined.

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Section: Closing the Groin Dissectionmentioning

confidence: 99%

Standard varicose vein surgery

Perkins

2009

Phlebology

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“…Eine "Barriere" im Bereich des Hiatus saphenus, wie vielfach vorgeschlagen [46,47], kann sicherlich eine bestimmte Anzahl von Neubildungen und damit Rezidive verhindern, allerdings ist auch mit einer nicht unerheblichen Rate lymphologischer Komplikationen zu rechnen [48], da hier jene efferenten Lymphgefäße der inguinalen Lymphknoten beeinträchtigt werden, die mit der ursprünglichen -V. saphena magna durch den Hiatus saphenus ziehen.…”

Section: Diskussionunclassified

Saphenofemoral recurrence from an an anatomist’s point of view

Brenner

2020

Phlebologie

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From an anatomical point of view, recurrences at the saphenofemoral junction (SFJ) could result from various sources. For one, it could be caused by a recanalisation of an originally occluded great saphenous vein (GSV). Secondly, another vein in the junction region could take over the function of the GSV and dilate. A third variation is a – more or less successful – generation of a new vein. In the last case, a sufficient vein could be generated, an insufficient vein could arise, or an inadequate venous regeneration, so that a cluster of frail but incomplete vasculature remains (neovasculature).

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“…Deep vein thrombosis, wound infection, lymphocele, and lymphoedema have been reported following silicone patch application [24]. No such untoward events have been reported in studies in which PTFE patch was used instead of silicone patch [15][16][17].…”

Section: Correlation Of Preoperative Clinical Severity Of Disease Witmentioning

confidence: 99%

Role of PTFE Patch Saphenoplasty in Reducing Neovascularization and Recurrence in Varicose Veins

et al. 2014

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Varicose veins have a high recurrence rate following surgery. Besides poor surgical technique, majority of these recurrences are attributable to neovascularization after both primary and repeat surgery. Authors have studied the effectiveness of a polytetrafluoroethylene (PTFE) patch interposition between the ligated vein stump and the overlying soft tissue at saphenofemoral junction in decreasing recurrence of varicose veins after initial surgery. Study was conducted on 50 patients of varicose veins with saphenofemoral junction incompetence. Patients were randomly divided into two groups, group A and group B alternately. In group A, standard surgical procedure was done followed by PTFE patch application. In group B, same surgical procedure was applied as in group A, with the exception of PTFE patch application. Patients in both groups were given similar postoperative care. A full venous duplex ultrasound assessment was performed in all the patients postoperatively. Neovascularization was observed in five patients (20 %) of group B, while it was not seen in any of the patients in group A at 1-year follow-up. This difference in neovascularization across the two groups was found to be statistically significant with a p value of 0.0251. Hence, authors concluded that patch saphenoplasty helps in reducing recurrence in varicose veins by decreasing neovascularization at saphenofemoral junction.

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Early and late complications of silicone patch saphenoplasty at the saphenofemoral junction

Abstract: Patch saphenoplasty can cause early and late postoperative complications in the groin, which are usually minor. In exceptional cases, major complications may cause important morbidity and may be difficult to handle.

Cited by 24 publications

References 20 publications

Standard varicose vein surgery

Standard varicose vein surgery

Saphenofemoral recurrence from an an anatomist’s point of view

Role of PTFE Patch Saphenoplasty in Reducing Neovascularization and Recurrence in Varicose Veins

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