Midterm Clinical Outcomes after Modified High Ligation and Segmental Stripping of Incompetent Small Saphenous Veins
Background: The aim of this study was to evaluate the midterm clinical outcomes after modified high ligation and segmental stripping of small saphenous vein (SSV) varicosities. Methods: Between January 2010 and March 2013, 62 patients (69 legs) with isolated primary small saphenous varicose veins...
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| Format: | Article |
| Language: | English |
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Korean Society for Thoracic and Cardiovascular Surgery
2015-12-01
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| Series: | Korean Journal of Thoracic and Cardiovascular Surgery |
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| Online Access: | http://www.kjtcvs.org/journal/download_pdf.php?doi=10.5090/kjtcs.2015.48.6.398 |
| Summary: | Background: The aim of this study was to evaluate the midterm clinical outcomes after modified high ligation and
segmental stripping of small saphenous vein (SSV) varicosities. Methods: Between January 2010 and March 2013,
62 patients (69 legs) with isolated primary small saphenous varicose veins were enrolled in this study. The outcomes
measured were reflux in the remaining distal SSV, the recurrence of varicose veins, the improvement of preoperative
symptoms, and the rate of postoperative complications. Results: No major complications occurred. No instances
of the recurrence of varicose veins at previous stripping sites were noted. Three legs (4.3%) showed reflux in the
remaining distal small saphenous veins. The preoperative symptoms were found to have improved in 96.4% of the
cases. Conclusion: In the absence of flush ligation of the saphenopopliteal junction, modified high ligation and
segmental stripping of small saphenous vein varicosities with preoperative duplex marking is an effective treatment
method for reducing postoperative complications and the recurrence of SSV incompetence. |
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| ISSN: | 2233-601X 2093-6516 |