Strip‐track revascularization after stripping of the great saphenous vein

  title={Strip‐track revascularization after stripping of the great saphenous vein},
  author={Aruna Munasinghe and Connie Smith and Babak Kianifard and Barrie A Price and J. M. Holdstock and Mark S Whiteley},
  journal={British Journal of Surgery},
Varicose veins that recur after standard high tie and strip are often associated with venous reflux in the thigh, as shown by duplex ultrasonography. The aim of this study was to look for evidence of revascularization in the strip track after great saphenous vein (GSV) stripping. 
Open Surgery for Primary Varicose Veins
Historically, Friedrich Trendelenburg in 1891, advocated ligation of great saphenous vein at the mid thigh and Keller and Mayo in the early twentieth century recommended the procedure of stripping. Expand
Recurrent Varicose Veins
Visible varicose veins affect approximately 10–15% of the adult population, with a similar percentage of people suffering from superficial venous incompetence which is essentially the same disease but without visible varicosities. Expand
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  • Current medical research and opinion
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Five to eight years after high saphenous tie and stripping, 82% of legs of patients showed some strip-tract revascularization and reflux and 12% showed total rev vascularization andReflux of the stripped greatsaphenous vein. Expand
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Flush ligation of the saphenofemoral junction confers no advantage over standard ligation with respect to clinical recurrence and neovascularisation. Expand
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Update on endovenous radio-frequency closure ablation of varicose veins.
Radio frequency ablation (RFA) available since 1999 is now established as a safe and efficacious treatment for the ablation of refluxing saphenous veins and is associated with less postprocedural pain, less ecchymosis and tenderness, and better quality of life (QOL) measures. Expand
Saphenofemoral recurrence from an an anatomist’s point of view
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At follow-up, an objective assessment was that stripping conferred a significant advantage, but the incidence of paraesthesia and pain biased patient's opinion against stripping. Expand
Neovascularization in Recurrence of the Varicose Great Saphenous Vein following Transection
The theory of recurrence through pre-existing veins requires revision after transection of the great saphenous vein in the thigh under local analgesia showed that the continuity of the vein was restored by growth of new vessels in the surrounding tissues and vein wall. Expand
Stripping the long saphenous vein reduces the rate of reoperation for recurrent varicose veins: five-year results of a randomized trial.
Stripping reduced the risk of reoperation by two thirds after 5 years and should be routine for primary long saphenous varicose veins. Expand
Causes of varicose vein recurrence: late results of a randomized controlled trial of stripping the long saphenous vein.
Stripping the long saphenous vein is recommended as part of routine varicose vein surgery as it reduced the risk of reoperation by 60% after 11 years, although it did not reduce the rate of visible recurrent veins. Expand
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The morphology of recurrent varicose veins.
  • S. Darke
  • Medicine
  • European journal of vascular surgery
  • 1992
Over an 18-month period, of 444 patients referred for treatment for varicose veins, 95 (21%) had had previous surgery. By means of clinical hand-held Doppler and in selected venographic evaluationExpand
Neovascularization and recurrent varicose veins: more histologic and ultrasound evidence.
Neovascularisation is the major cause for ultrasound-confirmed recurrence of reflux in the groin following varicose vein surgery, as well as frequency and neovascularization, which are evaluated. Expand
Clinicopathological evidence that neovascularisation is a cause of recurrent varicose veins.
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