Incidence of Reflux in Patent Tributaries around Saphenofemoral Junction after Stripping or Ablation of Great Saphenous Vein | ||||
| The Egyptian Journal of Hospital Medicine | ||||
| Article 111, Volume 100, Issue 1, July 2025, Page 3316-3322 PDF (243.14 K) | ||||
| Document Type: Original Article | ||||
| DOI: 10.21608/ejhm.2025.444571 | ||||
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| Abstract | ||||
| Background: There are a variety of management modalities for varicose veins, the main surgical measures include: the traditional high tie stripping and ligation of saphenous vein, endovenous thermal ablation of great saphenous to occlude the vein by intense heat using radiofrequency, laser or steam, The main goal is to ablate the axial or incompetent vein(s) at the SFJ while maintaining the integrity of the other tributaries that appear to be healthy. Objectives: This study aimed to determine the incidence of reflux in the tributaries of great saphenous vein surrounding the saphenofemoral junction following saphenofemoral junction ligation, great saphenous vein stripping, or great saphenous vein ablation. Patients and methods: A prospective cohort study in the Vascular Surgery unit, Surgery department, Suez Canal University Hospital Ismailia on 73 patients from june 2022 to January 2025 proved to have had varicose veins with refluxing saphenofemoral junction and/ or great saphenous vein that had stripping of GSV with ligation of SFJ or ablation of great saphenous vein without ligation or ablation of the compentent tributaries. Results: Regarding recurrence of symptoms and radiological findings of all patients, at 3 months follow-up. 4.1% had Tributaries reflux, and 2.7% had GSV recanalization. While at 6-months follow up, 6.8% had symptoms recurrence, 5.4% had Tributaries reflux, 5.4% had neovasularization and 2.7% had GSV recanalization. Conclusion: it could concludedtahtStripping of great saphenous vein with ligation of Sapheno-femoral junction or ablation of great saphenous vein without ligation or ablation of the competent tributaries would have no significant effect on the recurrence rate of varicose veins , but there were insignificant relation regarding incidence of post-operative reflux in tributaries , and its relation to neovascularization. | ||||
| Keywords | ||||
| Reflux; Patent Tributaries; Sapheno-Femoral Junction; Ablation of Great Saphenous Vein | ||||
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