Korean J Thorac Cardiovasc Surg.  2015 Dec;48(6):398-403. 10.5090/kjtcs.2015.48.6.398.

Midterm Clinical Outcomes after Modified High Ligation and Segmental Stripping of Incompetent Small Saphenous Veins

• Hong KP

• KMID: 2382296
• DOI: http://doi.org/10.5090/kjtcs.2015.48.6.398

Abstract

BACKGROUND
The aim of this study was to evaluate the midterm clinical outcomes after modified high ligation and segmental stripping of small saphenous vein (SSV) varicosities.
METHODS
Between January 2010 and March 2013, 62 patients (69 legs) with isolated primary small saphenous varicose veins were enrolled in this study. The outcomes measured were reflux in the remaining distal SSV, the recurrence of varicose veins, the improvement of preoperative symptoms, and the rate of postoperative complications.
RESULTS
No major complications occurred. No instances of the recurrence of varicose veins at previous stripping sites were noted. Three legs (4.3%) showed reflux in the remaining distal small saphenous veins. The preoperative symptoms were found to have improved in 96.4% of the cases.
CONCLUSION
In the absence of flush ligation of the saphenopopliteal junction, modified high ligation and segmental stripping of small saphenous vein varicosities with preoperative duplex marking is an effective treatment method for reducing postoperative complications and the recurrence of SSV incompetence.

Keyword

High ligation; Stripping; Varicose veins; Saphenous vein

MeSH Terms

Humans
Leg
Ligation*
Postoperative Complications
Recurrence
Saphenous Vein*
Varicose Veins