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Early and late complications of silicone patch saphenoplasty at the saphenofemoral junction.
J Vasc Surg. 2006 Dec; 44(6):1285-90.JV

Abstract

BACKGROUND

To reduce the incidence of postoperative recurrence after great saphenous vein (GSV) surgery, various barrier techniques have been introduced, aiming at containment of postoperative neovascularization at the saphenofemoral junction in the groin. Interposition of a prosthetic barrier (patch saphenoplasty) may be useful for this purpose; however, the incidence of postoperative complications after patch saphenoplasty is unknown. A prospective study examined the incidence of complications after patch saphenoplasty in primary and repeat varicose vein surgery.

METHODS

Silicone patch saphenoplasty was performed in a consecutive series of 462 limbs (primary GSV surgery in 380, repeat surgery in 82) in 387 patients. Early and late complications in the groin potentially related to patch saphenoplasty were registered at clinical follow-up after 1 week and at clinical and duplex ultrasound examination after 2 months, 1 year, and later in case of new symptoms.

RESULTS

Complications occurred in 44 limbs (9.5%), 28 (7.4%) after primary GSV surgery and 16 (19.5%) after repeat surgery (P < .01). After repeat surgery, half of the complications were lymphatic problems. Nine limbs (2.0%) developed a complication after >2 months. Wound infection was registered in 13 limbs (2.8%), lymphocele or lymphedema in the groin or thigh in 15 limbs (3.2%), symptomatic or asymptomatic proximal venous thromboembolism in 14 limbs (3.0%), and swelling of the thigh due to important stenosis of the common femoral vein visible on duplex scan in 4 limbs (0.9%). Two of the latter remained symptomatic even after venoplasty and stenting of the pinpoint stenosis of the common femoral vein.

CONCLUSION

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.

Authors+Show Affiliations

Department of Thoracic and Vascular Surgery, University Hospital Antwerp, Edegem, Belgium. marianne.de.maeseneer@uza.beNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

17145432

Citation

De Maeseneer, Marianne G., et al. "Early and Late Complications of Silicone Patch Saphenoplasty at the Saphenofemoral Junction." Journal of Vascular Surgery, vol. 44, no. 6, 2006, pp. 1285-90.
De Maeseneer MG, Vandenbroeck CP, Lauwers PR, et al. Early and late complications of silicone patch saphenoplasty at the saphenofemoral junction. J Vasc Surg. 2006;44(6):1285-90.
De Maeseneer, M. G., Vandenbroeck, C. P., Lauwers, P. R., Hendriks, J. M., De Hert, S. G., & Van Schil, P. E. (2006). Early and late complications of silicone patch saphenoplasty at the saphenofemoral junction. Journal of Vascular Surgery, 44(6), 1285-90.
De Maeseneer MG, et al. Early and Late Complications of Silicone Patch Saphenoplasty at the Saphenofemoral Junction. J Vasc Surg. 2006;44(6):1285-90. PubMed PMID: 17145432.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Early and late complications of silicone patch saphenoplasty at the saphenofemoral junction. AU - De Maeseneer,Marianne G, AU - Vandenbroeck,Chantal P, AU - Lauwers,Patrick R, AU - Hendriks,Jeroen M, AU - De Hert,Stefan G, AU - Van Schil,Paul E, PY - 2006/06/22/received PY - 2006/08/04/accepted PY - 2006/12/6/pubmed PY - 2007/1/20/medline PY - 2006/12/6/entrez SP - 1285 EP - 90 JF - Journal of vascular surgery JO - J Vasc Surg VL - 44 IS - 6 N2 - BACKGROUND: To reduce the incidence of postoperative recurrence after great saphenous vein (GSV) surgery, various barrier techniques have been introduced, aiming at containment of postoperative neovascularization at the saphenofemoral junction in the groin. Interposition of a prosthetic barrier (patch saphenoplasty) may be useful for this purpose; however, the incidence of postoperative complications after patch saphenoplasty is unknown. A prospective study examined the incidence of complications after patch saphenoplasty in primary and repeat varicose vein surgery. METHODS: Silicone patch saphenoplasty was performed in a consecutive series of 462 limbs (primary GSV surgery in 380, repeat surgery in 82) in 387 patients. Early and late complications in the groin potentially related to patch saphenoplasty were registered at clinical follow-up after 1 week and at clinical and duplex ultrasound examination after 2 months, 1 year, and later in case of new symptoms. RESULTS: Complications occurred in 44 limbs (9.5%), 28 (7.4%) after primary GSV surgery and 16 (19.5%) after repeat surgery (P < .01). After repeat surgery, half of the complications were lymphatic problems. Nine limbs (2.0%) developed a complication after >2 months. Wound infection was registered in 13 limbs (2.8%), lymphocele or lymphedema in the groin or thigh in 15 limbs (3.2%), symptomatic or asymptomatic proximal venous thromboembolism in 14 limbs (3.0%), and swelling of the thigh due to important stenosis of the common femoral vein visible on duplex scan in 4 limbs (0.9%). Two of the latter remained symptomatic even after venoplasty and stenting of the pinpoint stenosis of the common femoral vein. CONCLUSION: 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. SN - 0741-5214 UR - https://www.unboundmedicine.com/medline/citation/17145432/Early_and_late_complications_of_silicone_patch_saphenoplasty_at_the_saphenofemoral_junction_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0741-5214(06)01391-7 DB - PRIME DP - Unbound Medicine ER -