title: Superficial epigastric vein sparing in the saphenous-femoral crossectomy or in the closures of the saphena magna.
abstract: OBJECTIVE
  Considerations based on years of experience, have led our school to spare the superior collateral vein: the superficial epigastric vein.
  
  
  METHODS
  1536 selective epigastric-sparing crossectomies performed with the support of Duplex US to detect the normal functioning of terminal saphenous-fermoral junction and femoral valves.
  
  
  RESULTS
  The selective-haemodynamic sapheno-femoral junction ligation" (although this is not strictly done), saves from ligation (but only in the presence of functioning femoral and saphenous terminal valves) and division the termination of the superficial epigastric vein into the common femoral vein.
  
  
  CONCLUSIONS
  Superficial epigastric vein is a descending draining vessel, assisted by gravity (unlike the inferior collaterals). In case of obesity or portal hypertension, the spared superficial epigastric vein could drain into the common femoral vein keeping its anatomical and haemodynamic functions.
  
  
  CONCLUSIONS
  The resulting anterograde flow will provide some flow through the residual saphenous stump, preventing its thrombosis.
  
  
  BACKGROUND
  Duplex US, Ligation, Saphenous vein.
authors.forename: Giuseppe
authors.initials: G
authors.lastname: Genovese
authors.forename: Ermenegildo
authors.initials: E
authors.lastname: Furino
authors.forename: Gennaro
authors.initials: G
authors.lastname: Quarto
mesh_terms: D005268:Femoral Vein / Q000000981:diagnostic imaging / Q000601:surgery*; D018056:Hemorheology; D006801:Humans; D007084:Iliac Vein / Q000000981:diagnostic imaging / Q000601:surgery*; D008026:Ligation; D059351:Organ Sparing Treatments; D011183:Postoperative Complications / Q000517:prevention & control; D012501:Saphenous Vein / Q000000981:diagnostic imaging / Q000601:surgery*; D018616:Ultrasonography, Doppler, Duplex; D018084:Ultrasonography, Interventional; D020246:Venous Thrombosis / Q000517:prevention & control