Journal of Vascular Surgery
Volume 47, Issue 5 , Pages 1028-1032 , May 2008

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

  • Dominik Heim, MD, PhD

      Affiliations

    • Department of Surgery, District Hospital of Frutigen, Frutigen, Switzerland
    • Corresponding Author InformationReprint requests: Dominik Heim, MD, Department of Surgery, District Hospital, CH-3714 Frutigen, Switzerland.
    • ,
  • Marco Negri, MD

      Affiliations

    • Department of Internal Medicine, District Hospital of Frutigen, Frutigen, Switzerland
    • ,
  • Urs Schlegel, PhD

      Affiliations

    • AO Research Institute, Davos-Platz, Switzerland
    • ,
  • Marianne De Maeseneer, MD, PhD

      Affiliations

    • Department of Thoracic and Vascular Surgery, University Hospital, Antwerpen, Belgium

Received 26 September 2007 ,Accepted 16 December 2007.

References 

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  2. van Rij AM, Jiang P, Solomon C, Christie RA, Hill GB. Recurrence after varicose vein surgery: A prospective long-term clinical study with duplex ultrasound scanning and air plethysmography. J Vasc Surg. 2003;38:935–943
  3. De Maeseneer MG, Vandenbroeck CP, Hendriks JM, Lauwers PR, Van Schil PE. Accuracy of duplex evaluation one year after varicose vein surgery to predict recurrence at the sapheno-femoral junction after five years. Eur J Vasc Endovasc Surg. 2005;29:308–312
  4. Jones L, Braithwaite BD, Selwyn D, Cooke S, Earnshaw JJ. Neovascularisation is the principal cause of varicose vein recurrence: results of a randomised trial of stripping the long saphenous vein. Eur J Vasc Endovasc Surg. 1996;12:442–445
  5. De Maeseneer MG, Ongena KP, Van den Brande F, Van Schil PE, De Hert SG, Eyskens EJ. Duplex ultrasound assessment of neovascularisation after saphenofemoral or sapheno-politeal junction ligation. Phlebology. 1997;12:64–68
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  11. Agus GB, Mancini S, Magi G, the IEWG. The first 1000 cases of Italian Endovenous-laser Working Group (IEWG) (Rationale and long-term outcomes for the 1999-2003 period). Int Angiol. 2006;25:209–215
  12. Pichot O, Kabnick L, Creton D, Merchant RF, Schuller-Petrovic S, Chandler JG. Duplex ultrasound scan findings two years after great saphenous vein radiofrequency endovenous obliteration. J Vasc Surg. 2004;39:189–195
  13. Klanifard B, Holdstock JM, Whiteley MS. Radiofrequency ablation (VNUS closure) does not cause neo-vascularisation at the groin at one year: results of a case controlled study. Surgeon. 2006;4:71–74
  14. Glass GM. Prevention of sapheno-femoral and sapheno-popliteal recurrence of varicose veins by forming a partition to contain neovascularisation. Phlebology. 1998;13:3–9
  15. Earnshaw JJ, Davies B, Harradine K, Heather BP. Preliminary results of PTFE patch saphenoplasty to prevent neovascularisation leading to recurrent varicose veins. Phlebology. 1998;13:10–13
  16. De Maeseneer MG, Giuliani DR, Van Schil PE, De Hert SG. Can interposition of a silicone implant after sapheno-femoral ligation prevent recurrent varicose veins?. Eur J Vasc Endovasc Surg. 2002;24:445–449
  17. De Maeseneer GM, Philipsen TE, Vandenbroeck CP, Lauwers PR, Hendriks JM, De Hert SG, et al. Closure of the cribriform fascia: an efficient anatomical barrier against postoperative neovascularisation at the saphenofemoral junction? (A prospective study). Eur J Vasc Endovasc Surg. 2007;34:361–366
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  21. Michiels C, Arnould T, Thibaut-Vercruyssen R, Bouaziz N, Janssens D, Remacle J. Perfused human saphenous veins for the study of the origin of varicose veins: role of the endothelium and of hypoxia. Int Angiol. 1997;16:134–141
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  24. Frings N, Nelle A, Tran P, Fischer R, Krug W. Reduction of neoreflux after correctly performed ligation of the saphenofemoral junction (A randomized trial). Eur J Vasc Endovasc Surg. 2004;28:246–252
  25. Haas E, Burkhardt T, Maile N. Rezidivhäufigkeit durch Neoangiogenese nach modifizierter Krossektomie. Phlebologie. 2005;2:101–104
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 Competition of interest: none.

PII: S0741-5214(07)02112-X

doi: 10.1016/j.jvs.2007.12.039

Journal of Vascular Surgery
Volume 47, Issue 5 , Pages 1028-1032 , May 2008

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