[Ultrasonography of postoperatively recurrent varicose veins in the area of the short saphenous vein].
OBJECTIVE
The aim of this retrospective study was to classify postoperative recurrent varicose veins in the area of the short saphenous vein.


METHODS
This retrospective ultrasound Doppler exploration was performed in 60 patients (77 limbs) who had been operated with crossectomy, isolated or associated with a stripping of the short saphenous vein, after a mean 9.2-year interval.


RESULTS
Recurrences were classified in five categories: 14.8% of the patients had a recurrence in relation to a venous stump at the level of the crossectomy; 32.1% had a saphenous vein in its anatomical location, 21% had reflux due to incompetence; in 28.4%, recurrence was not correlated with the short saphenous vein; and in only 3.8%, there was a pseudo-angiomatosis appearance. In half of these patients, recurrence was related to an incomplete stripping of the short saphenous vein.


CONCLUSIONS
In order to avoid incomplete and inefficient treatments leading to recurrent varicose veins, an ultrasound Doppler exploration is necessary before and after crossectomy and stripping of the short saphenous vein.
Vin
F
F
Hopital américain de Paris, 63 boulevard Victor-Hugo, 92200 Neuilly-sur-Seine, France.
Chleir
F
F
D000328:Adult; D000368:Aged; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D012008:Recurrence; D012189:Retrospective Studies; D012501:Saphenous Vein / Q000000981:diagnostic imaging / Q000473:pathology*; D018608:Ultrasonography, Doppler; D014648:Varicose Veins / Q000000981:diagnostic imaging* / Q000473:pathology / Q000601:surgery