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Preoperative colour-coded duplex scanning in varicose veins of the lower extremity.
Eur J Surg. 1993 Jun-Jul; 159(6-7):329-33.EJ

Abstract

OBJECTIVE

To evaluate the role of colour-coded duplex scanning in the preoperative assessment of varicose veins of the lower extremity.

DESIGN

Open study.

SETTING

District hospital.

SUBJECTS

48 patients who were due to be operated on for varicose veins (20 bilateral); 10 were being operated on for the second time.

MAIN OUTCOME MEASURES

The planned operation was changed according to the results of the colour-coded duplex scan if they differed from those of physical examination and continuous wave Doppler flow, and its accuracy was verified at operation.

RESULTS

The use of colour-coded duplex scanning resulted in a change in the plan of operation in 18 of the 68 legs. Escape points between the superficial and deep venous system would have been left intact in 14, the long saphenous vein would have been stripped unnecessarily in three, and one exploration to find an incompetent perforating vein would have been unnecessary. In 6 of the 10 having reoperations colour-coded duplex scanning showed that the recurrences were caused by incompetent perforating veins; this indicated that ligation of perforating veins had been inadequate at the first operation. In the remaining four the duplex scan showed that the recurrence was caused either by a patent incompetent long saphenous vein (n = 2) or by an incompetent saphenofemoral junction (n = 2).

CONCLUSION

Colour-coded duplex scanning is more accurate than physical examination and continuous wave Doppler flow studies in the preoperative assessment of varicose veins of the lower limb.

Authors+Show Affiliations

Department of Vascular Surgery, University Hospital Utrecht, The Netherlands.No affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

8104492

Citation

van der Heijden, F H., and C M. Bruyninckx. "Preoperative Colour-coded Duplex Scanning in Varicose Veins of the Lower Extremity." The European Journal of Surgery = Acta Chirurgica, vol. 159, no. 6-7, 1993, pp. 329-33.
van der Heijden FH, Bruyninckx CM. Preoperative colour-coded duplex scanning in varicose veins of the lower extremity. Eur J Surg. 1993;159(6-7):329-33.
van der Heijden, F. H., & Bruyninckx, C. M. (1993). Preoperative colour-coded duplex scanning in varicose veins of the lower extremity. The European Journal of Surgery = Acta Chirurgica, 159(6-7), 329-33.
van der Heijden FH, Bruyninckx CM. Preoperative Colour-coded Duplex Scanning in Varicose Veins of the Lower Extremity. Eur J Surg. 1993 Jun-Jul;159(6-7):329-33. PubMed PMID: 8104492.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Preoperative colour-coded duplex scanning in varicose veins of the lower extremity. AU - van der Heijden,F H, AU - Bruyninckx,C M, PY - 1993/6/1/pubmed PY - 1993/6/1/medline PY - 1993/6/1/entrez SP - 329 EP - 33 JF - The European journal of surgery = Acta chirurgica JO - Eur J Surg VL - 159 IS - 6-7 N2 - OBJECTIVE: To evaluate the role of colour-coded duplex scanning in the preoperative assessment of varicose veins of the lower extremity. DESIGN: Open study. SETTING: District hospital. SUBJECTS: 48 patients who were due to be operated on for varicose veins (20 bilateral); 10 were being operated on for the second time. MAIN OUTCOME MEASURES: The planned operation was changed according to the results of the colour-coded duplex scan if they differed from those of physical examination and continuous wave Doppler flow, and its accuracy was verified at operation. RESULTS: The use of colour-coded duplex scanning resulted in a change in the plan of operation in 18 of the 68 legs. Escape points between the superficial and deep venous system would have been left intact in 14, the long saphenous vein would have been stripped unnecessarily in three, and one exploration to find an incompetent perforating vein would have been unnecessary. In 6 of the 10 having reoperations colour-coded duplex scanning showed that the recurrences were caused by incompetent perforating veins; this indicated that ligation of perforating veins had been inadequate at the first operation. In the remaining four the duplex scan showed that the recurrence was caused either by a patent incompetent long saphenous vein (n = 2) or by an incompetent saphenofemoral junction (n = 2). CONCLUSION: Colour-coded duplex scanning is more accurate than physical examination and continuous wave Doppler flow studies in the preoperative assessment of varicose veins of the lower limb. SN - 1102-4151 UR - https://www.unboundmedicine.com/medline/citation/8104492/Preoperative_colour_coded_duplex_scanning_in_varicose_veins_of_the_lower_extremity_ L2 - https://medlineplus.gov/varicoseveins.html DB - PRIME DP - Unbound Medicine ER -