Re-exploration of the saphenofemoral junction in the treatment of recurrent varicose veins

Int Surg. Oct-Dec 1996;81(4):382-4.

Abstract

A retrospective study of 61 patients (61 legs) with recurrent varicose veins (RVV) and saphenofemoral junction (SFJ) incompetence was set up to assess the efficacy of re-exploration of the SFJ through a lateral approach. All the patients underwent re-exploration of the SFJ by a single surgeon (MPV) through a lateral approach. Thirty-one patients (50.8%) presented an intact SFJ. Twenty-seven patients (44.2%) presented intact major tributaries emerging from the stump of SFJ. In 2 patients (3.2%) the recurrence was related to neovascularization and in 1 case (1.6%) to cross groin venous connection. Follow-up averaged 2.81 years. Three (4.9%) patients were lost, 56 out of 58 patients (96.55%) were asymptomatic, 2 out of 58 (3.4%) presented a new recurrence in the groin. Complete isolation of the FV to identify every tributary and ligation of the SFJ flush with the FV are essential to avoid further recurrences.

MeSH terms

  • Adult
  • Aged
  • Female
  • Femoral Vein / surgery*
  • Humans
  • Male
  • Middle Aged
  • Recurrence
  • Retrospective Studies
  • Saphenous Vein / surgery*
  • Varicose Veins / surgery*