[Surgery of the saphenous-popliteal junction in the treatment of initial insufficiency of the small saphenous vein].
Insufficiency of the sapheno-popliteal junction may be the first sign of varicose disease, and represents one of several ways that lower limb-venous insufficiency uses to present itself. Doppler ultrasound is particularly helpful in diagnosing this often subclinical insufficiency. Based on satisfactory results in a series of 18 patients treated between 1985 and 1988 (mean follow-up 1.5 years), the authors suggest treating sapheno-popliteal junction insufficiency by means of crossectomy, under local anesthesia, and on an out-patient basis. When surgical treatment is performed during the first stages of the disease, the consequent irreversible damages to the lesser saphenous vein due to stasis are avoided, and thereby, a true varicose state is avoided.
Pampari
G C
GC
Istituto di Patologia Speciale Chirurgica e Propedeutica Clinica, Università degli Studi di Parma.
Contini
S
S
Japichino
G G
GG
D005500:Follow-Up Studies; D006801:Humans; D008722:Methods; D011152:Popliteal Vein / Q000601:surgery*; D012501:Saphenous Vein / Q000601:surgery*; D013997:Time Factors; D014648:Varicose Veins / Q000517:prevention & control; D014689:Venous Insufficiency / Q000601:surgery*
La crossectomia dell'ostio safeno-popliteo nel trattamento dell'insufficienza iniziale della piccola safena.