title: Operation for recurrent saphenofemoral incompetence using a medial approach to the saphenofemoral junction.
abstract: Forty-seven patients (53 limbs) with recurrent saphenofemoral incompetence and varicose veins underwent re-ligation of the saphenofemoral junction using a medial approach to the femoral vein. Twenty-seven patients (31 re-ligation procedures) were available for assessment at long-term follow-up (mean 30.4 months). Saphenofemoral incompetence was demonstrated in five limbs (16.1 per cent). The operative procedure is described and the alternatives discussed. This is a valuable procedure in the repertoire of the surgeon who has to treat recurrent varicose veins.
mesh_terms: D000328:Adult; D000368:Aged; D005260:Female; D005268:Femoral Vein / Q000601:surgery*; D006801:Humans; D008297:Male; D008722:Methods; D008875:Middle Aged; D012008:Recurrence; D012086:Reoperation; D012501:Saphenous Vein / Q000601:surgery*; D014648:Varicose Veins / Q000150:complications / Q000601:surgery*; D014689:Venous Insufficiency / Q000150:complications / Q000601:surgery*