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Incomplete removal of great saphenous vein is the most common cause for recurrent varicose veins.
Angiology. 2011 Feb; 62(2):198-201.A

Abstract

OBJECTIVE

Hie-tie and great saphenous vein (GSV) stripping decreases recurrence of varicose veins (VVs). However, varying lengths of residual-GSV are observed in patients with previous GSV stripping. This may explain high recurrence rates of VVs. The proportion of recurrent VV occurring secondary to suboptimal GSV stripping is calculated.

METHODS

Patients with recurrent VV (CEAP-class > C2) underwent venous duplex-ultrasound.

RESULTS

419 limbs were investigated in 298 patients (189 women and 109 men); median age for women and men was 60 and 61 years, respectively; 32.2% had reflux in residual-GSV; 30.3% had groin-reflux; 20% had reflux in sapheno-popliteal confluence (SPC); 10.2% had primary segmental deep-venous incompetence (DVI), and 6.9% had reflux at multiple sites. The frequency of reflux in the residual-GSV was significantly greater than that of reflux in the SPC (P < .0001) and DVI (P < .0001) but not groin (P = .3652).

CONCLUSION

Residual-GSV is an important cause for recurrent VV.

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Authors+Show Affiliations

Joshi D
Department of General and Vascular Surgery, Watford General Hospital, Watford, UK. dhiraj.joshi62@gmail.com
Sinclair A
No affiliation info available
Tsui J
No affiliation info available
Sarin S
No affiliation info available

MeSH

AgedCohort StudiesFemaleHumansMaleMiddle AgedRecurrenceRetrospective StudiesRisk FactorsSaphenous VeinTreatment OutcomeUltrasonography, Doppler, DuplexVaricose VeinsVenous Insufficiency

Pub Type(s)

Journal Article

Language

eng

PubMed ID

20713489

Citation

Joshi, Dhiraj, et al. "Incomplete Removal of Great Saphenous Vein Is the Most Common Cause for Recurrent Varicose Veins." Angiology, vol. 62, no. 2, 2011, pp. 198-201.
Joshi D, Sinclair A, Tsui J, et al. Incomplete removal of great saphenous vein is the most common cause for recurrent varicose veins. Angiology. 2011;62(2):198-201.
Joshi, D., Sinclair, A., Tsui, J., & Sarin, S. (2011). Incomplete removal of great saphenous vein is the most common cause for recurrent varicose veins. Angiology, 62(2), 198-201. https://doi.org/10.1177/0003319710375090
Joshi D, et al. Incomplete Removal of Great Saphenous Vein Is the Most Common Cause for Recurrent Varicose Veins. Angiology. 2011;62(2):198-201. PubMed PMID: 20713489.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Incomplete removal of great saphenous vein is the most common cause for recurrent varicose veins. AU - Joshi,Dhiraj, AU - Sinclair,Amy, AU - Tsui,Janice, AU - Sarin,Sanjeev, Y1 - 2010/08/16/ PY - 2010/8/18/entrez PY - 2010/8/18/pubmed PY - 2011/2/25/medline SP - 198 EP - 201 JF - Angiology JO - Angiology VL - 62 IS - 2 N2 - OBJECTIVE: Hie-tie and great saphenous vein (GSV) stripping decreases recurrence of varicose veins (VVs). However, varying lengths of residual-GSV are observed in patients with previous GSV stripping. This may explain high recurrence rates of VVs. The proportion of recurrent VV occurring secondary to suboptimal GSV stripping is calculated. METHODS: Patients with recurrent VV (CEAP-class > C2) underwent venous duplex-ultrasound. RESULTS: 419 limbs were investigated in 298 patients (189 women and 109 men); median age for women and men was 60 and 61 years, respectively; 32.2% had reflux in residual-GSV; 30.3% had groin-reflux; 20% had reflux in sapheno-popliteal confluence (SPC); 10.2% had primary segmental deep-venous incompetence (DVI), and 6.9% had reflux at multiple sites. The frequency of reflux in the residual-GSV was significantly greater than that of reflux in the SPC (P < .0001) and DVI (P < .0001) but not groin (P = .3652). CONCLUSION: Residual-GSV is an important cause for recurrent VV. SN - 1940-1574 UR - https://www.unboundmedicine.com/medline/citation/20713489/Incomplete_removal_of_great_saphenous_vein_is_the_most_common_cause_for_recurrent_varicose_veins_ L2 - https://journals.sagepub.com/doi/10.1177/0003319710375090?url_ver=Z39.88-2003&amp;rfr_id=ori:rid:crossref.org&amp;rfr_dat=cr_pub=pubmed DB - PRIME DP - Unbound Medicine ER -