BIOMAT Database Logo BIOMAT Database Logo

Objective assessment of high ligation without stripping the long saphenous vein. 1991

G M McMullin, and P D Coleridge Smith, and J H Scurr
Department of Surgery, University and Middlesex School of Medicine, Middlesex Hospital, London, UK.

Non-invasive methods of venous assessment were used to assess the procedure of high ligation plus multiple avulsion of varicosities for the treatment of varicose veins in 54 limbs. Duplex scanning before operation confirmed saphenofemoral incompetence and excluded short saphenous incompetence. After operation it revealed that in two limbs the saphenofemoral junction was still patent and incompetent. In the 52 limbs in which the junction had been ligated there was persistent reflux down the long saphenous vein in 24 cases. In only two limbs was this attributable to mid-thigh perforating veins. Photoplethysmography was also performed before and after operation and the venous refilling time measured. Improvement in refilling time produced by application of above knee tourniquets before operation was measured (predicted improvement) and the change in refilling time after operation was also recorded (observed improvement). There was a statistically significant correlation between observed improvement and predicted improvement in refilling times in the limbs with no reflux in the long saphenous vein after operation (Pearson's correlation coefficient, r = 0.6, P less than 0.001). There was no correlation between predicted and observed refilling times in the limbs with persisting reflux in the long saphenous vein after operation. In conclusion, this operation fails to control functionally significant reflux within the long saphenous vein in a high proportion of cases.

UI MeSH Term Description Entries
D007866 Leg The inferior part of the lower extremity between the KNEE and the ANKLE. Legs
D008026 Ligation Application of a ligature to tie a vessel or strangulate a part. Ligature,Ligations,Ligatures
D010991 Plethysmography Recording of change in the size of a part as modified by the circulation in it. Plethysmographies
D011184 Postoperative Period The period following a surgical operation. Period, Postoperative,Periods, Postoperative,Postoperative Periods
D011300 Preoperative Care Care given during the period prior to undergoing surgery when psychological and physical preparations are made according to the special needs of the individual patient. This period spans the time between admission to the hospital to the time the surgery begins. (From Dictionary of Health Services Management, 2d ed) Care, Preoperative,Preoperative Procedure,Preoperative Procedures,Procedure, Preoperative,Procedures, Preoperative
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D012501 Saphenous Vein The vein which drains the foot and leg. Saphenous Veins,Vein, Saphenous,Veins, Saphenous
D014463 Ultrasonography The visualization of deep structures of the body by recording the reflections or echoes of ultrasonic pulses directed into the tissues. Use of ultrasound for imaging or diagnostic purposes employs frequencies ranging from 1.6 to 10 megahertz. Echography,Echotomography,Echotomography, Computer,Sonography, Medical,Tomography, Ultrasonic,Ultrasonic Diagnosis,Ultrasonic Imaging,Ultrasonographic Imaging,Computer Echotomography,Diagnosis, Ultrasonic,Diagnostic Ultrasound,Ultrasonic Tomography,Ultrasound Imaging,Diagnoses, Ultrasonic,Diagnostic Ultrasounds,Imaging, Ultrasonic,Imaging, Ultrasonographic,Imaging, Ultrasound,Imagings, Ultrasonographic,Imagings, Ultrasound,Medical Sonography,Ultrasonic Diagnoses,Ultrasonographic Imagings,Ultrasound, Diagnostic,Ultrasounds, Diagnostic
D014648 Varicose Veins Enlarged and tortuous VEINS. Varices,Varix,Varicose Vein,Vein, Varicose,Veins, Varicose

Related Publications

G M McMullin, and P D Coleridge Smith, and J H Scurr
Radiofrequency ablation of the long saphenous vein without high ligation versus high ligation and stripping for primary varicose veins: pros and cons.
March 2002, Seminars in vascular surgery,
G M McMullin, and P D Coleridge Smith, and J H Scurr
Stripping and ligation of the saphenous vein.
December 2005, Seminars in cutaneous medicine and surgery,
G M McMullin, and P D Coleridge Smith, and J H Scurr
Objective assessment of nerve injury after greater saphenous vein stripping.
May 2007, European journal of vascular and endovascular surgery : the official journal of the European Society for Vascular Surgery,
G M McMullin, and P D Coleridge Smith, and J H Scurr
High ligation and stripping of the long saphenous vein using the tumescent technique for local anesthesia.
January 1998, Dermatologic surgery : official publication for American Society for Dermatologic Surgery [et al.],
G M McMullin, and P D Coleridge Smith, and J H Scurr
Results of long saphenous vein stripping.
December 2003, Singapore medical journal,
G M McMullin, and P D Coleridge Smith, and J H Scurr
Great saphenous vein surgery without high ligation of the saphenofemoral junction.
July 2013, Journal of vascular surgery,
G M McMullin, and P D Coleridge Smith, and J H Scurr
Saphenous nerve injury caused by stripping of the long saphenous vein.
March 1974, British medical journal,
G M McMullin, and P D Coleridge Smith, and J H Scurr
Long saphenous vein stripping under local anaesthesia.
May 1981, Annals of the Royal College of Surgeons of England,
G M McMullin, and P D Coleridge Smith, and J H Scurr
Long saphenous vein stripping under local anaesthesia.
September 1981, Annals of the Royal College of Surgeons of England,
G M McMullin, and P D Coleridge Smith, and J H Scurr
Surgical technique for stripping the long saphenous vein.
July 1977, Surgery, gynecology & obstetrics,
Copied contents to your clipboard!