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Closed subfascial ligation of incompetent perforating veins of the lower extremities.
Surg Today. 2004; 34(12):1057-60.ST

Abstract

The purpose of this study was to determine the effectiveness of minimally invasive surgical procedures for interrupting incompetent perforating veins of the lower limb. A closed subfascial ligation was performed in 20 patients who had incompetent perforating veins in 28 limbs as diagnosed by a clinical examination and duplex scanning. Two small transverse incisions measuring 5-10 mm in length were made on both sides of the incompetent perforating vein. Using an aneurysmal needle, a suture (polypropylene No. 1) was placed in the subfascial plane to encircle the incompetent perforating vein from all directions. Next, this suture was tied through two incisions to ligate this perforator. The mean follow-up period was 26 months. The ligation of the incompetent perforators was successful in 27 of 28 limbs and no wound complications were observed. A closed subfascial ligation of incompetent perforating veins of the lower limbs is thus considered to be easy to perform, not overly invasive, safe, and to also have very encouraging results.

Authors+Show Affiliations

Department of General Surgery, Faculty of Medicine, Zagazig University, Zagazig City 44519, Egypt.No affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Comparative Study
Journal Article

Language

eng

PubMed ID

15580393

Citation

Lasheen, Ahmed E., et al. "Closed Subfascial Ligation of Incompetent Perforating Veins of the Lower Extremities." Surgery Today, vol. 34, no. 12, 2004, pp. 1057-60.
Lasheen AE, Hefny MR, El Askry SM, et al. Closed subfascial ligation of incompetent perforating veins of the lower extremities. Surg Today. 2004;34(12):1057-60.
Lasheen, A. E., Hefny, M. R., El Askry, S. M., & Al Bakly, E. (2004). Closed subfascial ligation of incompetent perforating veins of the lower extremities. Surgery Today, 34(12), 1057-60.
Lasheen AE, et al. Closed Subfascial Ligation of Incompetent Perforating Veins of the Lower Extremities. Surg Today. 2004;34(12):1057-60. PubMed PMID: 15580393.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Closed subfascial ligation of incompetent perforating veins of the lower extremities. AU - Lasheen,Ahmed E, AU - Hefny,Mohamad R, AU - El Askry,Salah M, AU - Al Bakly,Esam, PY - 2003/06/30/received PY - 2004/01/20/accepted PY - 2004/12/8/pubmed PY - 2005/4/1/medline PY - 2004/12/8/entrez SP - 1057 EP - 60 JF - Surgery today JO - Surg Today VL - 34 IS - 12 N2 - The purpose of this study was to determine the effectiveness of minimally invasive surgical procedures for interrupting incompetent perforating veins of the lower limb. A closed subfascial ligation was performed in 20 patients who had incompetent perforating veins in 28 limbs as diagnosed by a clinical examination and duplex scanning. Two small transverse incisions measuring 5-10 mm in length were made on both sides of the incompetent perforating vein. Using an aneurysmal needle, a suture (polypropylene No. 1) was placed in the subfascial plane to encircle the incompetent perforating vein from all directions. Next, this suture was tied through two incisions to ligate this perforator. The mean follow-up period was 26 months. The ligation of the incompetent perforators was successful in 27 of 28 limbs and no wound complications were observed. A closed subfascial ligation of incompetent perforating veins of the lower limbs is thus considered to be easy to perform, not overly invasive, safe, and to also have very encouraging results. SN - 0941-1291 UR - https://www.unboundmedicine.com/medline/citation/15580393/Closed_subfascial_ligation_of_incompetent_perforating_veins_of_the_lower_extremities_ L2 - https://dx.doi.org/10.1007/s00595-004-2861-y DB - PRIME DP - Unbound Medicine ER -