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The effect of long saphenous vein stripping on deep venous reflux.
Eur J Vasc Endovasc Surg. 2004 Jul; 28(1):104-7.EJ

Abstract

BACKGROUND

The addition of long saphenous vein (LSV) stripping to sapheno-femoral junction (SFJ) disconnection and multiple stab avulsions (MSAs) in the course of varicose vein (VV) surgery is associated with a significant reduction in recurrence, and a significant improvement in quality of life. It is hypothesised that these benefits relate, at least in part, to a favourable effect of stripping on deep venous reflux.

OBJECTIVE

To examine the effect of long saphenous vein (LSV) stripping on deep venous reflux (DVR).

METHODS

This was prospective study of 62 consecutive patients (77 limbs) CEAP class 2-6, undergoing SFJ disconnection and MSAs, with and without successful stripping of the LSV to the knee. A duplex ultrasound examination was performed pre-operatively and at a median (IQR) of 24 (23-25) months post-operatively. Completely stripped limbs were defined as those in whom complete stripping of the LSV to the knee was confirmed on post-operative duplex. Reflux >/=0.5 s. was considered pathological.

RESULTS

Pre-operatively, 32 (42%) limbs had deep venous reflux (DVR). Post-operative duplex at 24 months revealed that the LSV had been completely stripped in 29 (38%) limbs. In patients with pre-operative DVR, complete stripping was associated with a significant reduction in the prevalence of superficial femoral vein (SFV) (p<0.001) and popliteal vein (PV) (p=0.016), McNemar test) on post-operative duplex. By contrast, in patients without pre-operative DVR, incomplete stripping was associated the development of SFV (p=0.031) and PV (p=0.008) reflux.

CONCLUSIONS

Complete LSV stripping abolishes DVR in a significant proportion of limbs, whereas failure to strip is frequently associated with the development of new DVR. These data support for routine stripping and suggest that the benefits of stripping may relate, at least in part, to a favourable impact on deep venous function.

Authors+Show Affiliations

Vascular Surgery Unit, Royal Infirmary, Edinburgh, UK.No affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Comparative Study
Journal Article

Language

eng

PubMed ID

15177239

Citation

MacKenzie, R K., et al. "The Effect of Long Saphenous Vein Stripping On Deep Venous Reflux." European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery, vol. 28, no. 1, 2004, pp. 104-7.
MacKenzie RK, Allan PL, Ruckley CV, et al. The effect of long saphenous vein stripping on deep venous reflux. Eur J Vasc Endovasc Surg. 2004;28(1):104-7.
MacKenzie, R. K., Allan, P. L., Ruckley, C. V., & Bradbury, A. W. (2004). The effect of long saphenous vein stripping on deep venous reflux. European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery, 28(1), 104-7.
MacKenzie RK, et al. The Effect of Long Saphenous Vein Stripping On Deep Venous Reflux. Eur J Vasc Endovasc Surg. 2004;28(1):104-7. PubMed PMID: 15177239.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - The effect of long saphenous vein stripping on deep venous reflux. AU - MacKenzie,R K, AU - Allan,P L, AU - Ruckley,C V, AU - Bradbury,A W, PY - 2004/03/09/accepted PY - 2004/6/5/pubmed PY - 2004/10/1/medline PY - 2004/6/5/entrez SP - 104 EP - 7 JF - European journal of vascular and endovascular surgery : the official journal of the European Society for Vascular Surgery JO - Eur J Vasc Endovasc Surg VL - 28 IS - 1 N2 - BACKGROUND: The addition of long saphenous vein (LSV) stripping to sapheno-femoral junction (SFJ) disconnection and multiple stab avulsions (MSAs) in the course of varicose vein (VV) surgery is associated with a significant reduction in recurrence, and a significant improvement in quality of life. It is hypothesised that these benefits relate, at least in part, to a favourable effect of stripping on deep venous reflux. OBJECTIVE: To examine the effect of long saphenous vein (LSV) stripping on deep venous reflux (DVR). METHODS: This was prospective study of 62 consecutive patients (77 limbs) CEAP class 2-6, undergoing SFJ disconnection and MSAs, with and without successful stripping of the LSV to the knee. A duplex ultrasound examination was performed pre-operatively and at a median (IQR) of 24 (23-25) months post-operatively. Completely stripped limbs were defined as those in whom complete stripping of the LSV to the knee was confirmed on post-operative duplex. Reflux >/=0.5 s. was considered pathological. RESULTS: Pre-operatively, 32 (42%) limbs had deep venous reflux (DVR). Post-operative duplex at 24 months revealed that the LSV had been completely stripped in 29 (38%) limbs. In patients with pre-operative DVR, complete stripping was associated with a significant reduction in the prevalence of superficial femoral vein (SFV) (p<0.001) and popliteal vein (PV) (p=0.016), McNemar test) on post-operative duplex. By contrast, in patients without pre-operative DVR, incomplete stripping was associated the development of SFV (p=0.031) and PV (p=0.008) reflux. CONCLUSIONS: Complete LSV stripping abolishes DVR in a significant proportion of limbs, whereas failure to strip is frequently associated with the development of new DVR. These data support for routine stripping and suggest that the benefits of stripping may relate, at least in part, to a favourable impact on deep venous function. SN - 1078-5884 UR - https://www.unboundmedicine.com/medline/citation/15177239/The_effect_of_long_saphenous_vein_stripping_on_deep_venous_reflux_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S1078588404001364 DB - PRIME DP - Unbound Medicine ER -