title: Re-exploration of the saphenofemoral junction in the treatment of recurrent varicose veins.
abstract: A retrospective study of 61 patients (61 legs) with recurrent varicose veins (RVV) and saphenofemoral junction (SFJ) incompetence was set up to assess the efficacy of re-exploration of the SFJ through a lateral approach. All the patients underwent re-exploration of the SFJ by a single surgeon (MPV) through a lateral approach. Thirty-one patients (50.8%) presented an intact SFJ. Twenty-seven patients (44.2%) presented intact major tributaries emerging from the stump of SFJ. In 2 patients (3.2%) the recurrence was related to neovascularization and in 1 case (1.6%) to cross groin venous connection. Follow-up averaged 2.81 years. Three (4.9%) patients were lost, 56 out of 58 patients (96.55%) were asymptomatic, 2 out of 58 (3.4%) presented a new recurrence in the groin. Complete isolation of the FV to identify every tributary and ligation of the SFJ flush with the FV are essential to avoid further recurrences.
authors.affiliation: Department of Surgery, Hospital of Abbiategrasso, Milan, Italy.
authors.forename: M P
authors.initials: MP
authors.lastname: Viani
authors.forename: R V
authors.initials: RV
authors.lastname: Poggi
authors.forename: A
authors.initials: A
authors.lastname: Pinto
authors.forename: S M
authors.initials: SM
authors.lastname: Andreani
authors.forename: C
authors.initials: C
authors.lastname: Spagnoli
authors.forename: R A
authors.initials: RA
authors.lastname: Maruotti
mesh_terms: D000328:Adult; D000368:Aged; D005260:Female; D005268:Femoral Vein / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D012008:Recurrence; D012189:Retrospective Studies; D012501:Saphenous Vein / Q000601:surgery*; D014648:Varicose Veins / Q000601:surgery*