Resecting the great saphenous stump with endothelial inversion decreases neither neovascularization nor thigh varicosity recurrence

A, After the great saphenous vein is dissected up to the level of the saphenofemoral junction and all its tributaries are divided, a Satinsky clamp is used to exclude the saphenofemoral junction before the great saphenous vein is cut longitudinally exactly at its junction with the common femoral vein. B, An inverting running suture of the venotomy of the common femoral vein has been finished.

Incidence of the different degrees of neovascularization on duplex ultrasound scan after 2 years in group A (ligation at the saphenofemoral junction) and group B (resection of the stump of the great saphenous vein).