title: Technical options in venous valve reconstruction.
abstract: OBJECTIVE
  Several modifications and details of techniques that were found useful in venous valve reconstruction are described. Related technical outcome data are also presented.
  
  
  METHODS
  Five hundred eighty-two valve segments were reconstructed in 347 limbs using a variety of different techniques.
  
  
  RESULTS
  Intraoperative valve competence was achieved in 86% of 347 limbs. The incidence of technical stenosis was 4%, thrombosis of repair <1%, loss due to hematoma/infection <1%, and operative mortality 0%. Postoperative duplex competence was achieved fully in 78% and partially in 16%; 6% remained refluxive. Rapid postoperative healing of stasis ulcer occurred in 93%.
  
  
  CONCLUSIONS
  The expanded variety of technical options in valve reconstruction allows optimization for the individual patient. Regardless of pathology, a functional venous valve can be reconstructed in most patients utilizing one of the described techniques.
authors.affiliation: Department of Surgery, University of Mississippi Medical Center, Jackson, USA.
authors.forename: S
authors.initials: S
authors.lastname: Raju
authors.forename: J D
authors.initials: JD
authors.lastname: Hardy
mesh_terms: D001367:Axillary Vein / Q000601:surgery; D001807:Blood Vessel Prosthesis; D006801:Humans; D013927:Thrombosis / Q000601:surgery; D014652:Vascular Diseases / Q000601:surgery*; D014656:Vascular Surgical Procedures / Q000379:methods*; D014680:Veins / Q000601:surgery*; D014689:Venous Insufficiency / Q000601:surgery