Anterior Accessory Great Saphenous Vein: Common Cause of Recurrent Varicose Veins

Abdelgawad, Mohamed S.; Saad, Ehab M.; Elshafie, Amr M.; ElSaeed, Amr S.; Elhady, Mohamed A. A. A.

doi:10.21608/ejsur.2024.325970.1221

	Anterior Accessory Great Saphenous Vein: Common Cause of Recurrent Varicose Veins
The Egyptian Journal of Surgery
Volume 44, Issue 2, April 2025, Page 556-561 PDF (447.71 K)
Document Type: Original Article
DOI: 10.21608/ejsur.2024.325970.1221
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Authors
Mohamed S. Abdelgawad ¹; Ehab M. Saad¹; Amr M. Elshafie¹; Amr S. ElSaeed²; Mohamed A. A. A. Elhady²
¹Departments of Vascular and Endovascular, Faculty of Medicine, Mansoura University, Mansoura, Egypt
²Departments of General Surgery, Faculty of Medicine, Mansoura University, Mansoura, Egypt
Abstract
Background: Varicose veins are a prevalent vascular condition affecting a significant portion of the population. Recurrence after surgical treatment is a common concern. often attributed to the presence of an incompetent anterior accessory great saphenous vein (AAGSV). This research elucidated and evaluated the impact of AAGSV reflux as a significant cause of recurrent varicose veins in the lower limbs. Patients and Methods: This observational, retrospective study analyzed 80 patients with varicose. Preoperative duplex ultrasound, clinical examination, and demographic data were collected. Patients underwent various treatment modalities, and recurrence rates, sites, and associated symptoms were evaluated. Results: The mean age was 43.4 ±9.59 years, with a higher proportion of females (61.25%). Preoperatively, 65% had anterior saphenous vein involvement, with a mean diameter of 4.4±1.25 mm. The most common site of recurrence was the AAGSV (37.5%), followed by the great saphenous vein (21.25%). The mean time to recurrence was 2.4±0.76 years, with symptoms like visible varicosities (88.75%), edema (31.25%), and pain (27.5%). Procedures after recurrence were predominantly Endovenous laser ablation (71.25%), followed by surgery (26.25%) and radiofrequency ablation (2.5%). Conclusions: The AAGSV significantly contributes to recurrent varicose veins, emphasizing the importance of comprehensive preoperative assessment and appropriate treatment to improve patient outcomes.
Keywords
Anterior accessory great saphenous vein; recurrence; varicose veins


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