The Usefulness of Preoperative Doppler Ultrasonographic Evaluation of Saphenofemoral Complex For Improving Lower Limb Varicose Veins Surgery

• Authors: Wojciech Mikusek , Jerzy Arendt , Dariusz Waniczek , Marek Rudzki , Krzysztof Buda , Witold Orkisz
• Languages of publication: EN

Abstracts

EN

The aim of the study was to determine whether detailed preoperative Doppler ultrasonographic examination of saphenofemoral complex can improve the results of the lower limb varicose veins surgery.Two groups of patients (30 people each) were operated due to lower limbs primary varicose veins caused by saphenous vein insufficiency. All patients had a routine duplex examination performed. Group B had additional ultrasound examination before the operation to evaluate the number, diameter, and localization of the tributary vessels in the area of saphenofemoral junction. 30 days after the operation, in both groups control duplex examination was performed to evaluate the sparingness of the surgical procedure. The control ultrasonography showed 8 and 2 tributary vessels overlooked in groups A and B, respectively. The differences were statistically significant. The conformity of the preoperative ultrasound and the scene found during the operation in group B was 83.3%. The chance of overlooking peripheral vessels in group A increased 5.1 times.Preoperative Doppler ultrasound estimates localization of tributary vessels within the saphenofemoral junction, which makes detecting vessels during the operation much easier. It allows to minimize the number of technical mistakes and improve the lower limb varicose veins surgery results.

Keywords

EN

saphenofemoral junction; varicose veins; surgery; duplex ultrasound

• Publisher: Index Copernicus International
• Journal: Polish Journal of Surgery
• Year: 2008
• Volume: 80
• Issue: 11
• Pages: 594-603

Dates

published

1 - 10 - 2008

online

4 - 5 - 2010

Contributors

author

Wojciech Mikusek

• Clinic and Department of General and Gastrointestnal Surgery, Silesian Medical University in Bytom

author

Jerzy Arendt

• Clinic and Department of General and Gastrointestnal Surgery, Silesian Medical University in Bytom

author

Dariusz Waniczek

• Clinic and Department of General and Gastrointestnal Surgery, Silesian Medical University in Bytom

author

Marek Rudzki

• Clinic and Department of General and Gastrointestnal Surgery, Silesian Medical University in Bytom

author

Krzysztof Buda

• Clinic and Department of General and Gastrointestnal Surgery, Silesian Medical University in Bytom

author

Witold Orkisz

• Clinic and Department of General and Gastrointestnal Surgery, Silesian Medical University in Bytom

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Identifiers

DOI

10.2478/v10035-008-0082-6