Flush saphenofemoral ligation and multiple cosmetic stab phlebectomy with preservation of a useful great saphenous vein

Abstract EN

Fiush saphenofemoral ligation, with multiple cosmetic stab phlebectomy, successfully treats saphenofemoral reflux and superficial varicosities.

The long-term effect on the residual greater saphenous vein (GSV) was evaluated by duplex ultrasound assessment of the residual GSV for potential use as a vein graft.

The independent objective and subjective cosmetic outcomes were evaluated.

Seventy-two limbs were assessed at a median follow-up of one year.

Fifty-nine limbs had patent GSVs above and below the knee.

The mean length patent was 51 cm, and the mean internal diameters above and below the knee were 3.6 and 2.8 mm, respectively.

In 65% of cases the vein had suitable ultrasonic characteristics, suggesting that it would be suitable for use as a conduit for a vascular bypass graft.

Sixty-two limbs were considered a symptomatic success and 61 an objective cosmetic success.

There was no correlation between the symptomatic and cosmetic outcome and the presence of superficial GSV reflux.

These findings support the effectiveness of the procedure of flush saphenofemoral ligation and multiple stab phlebectomy with regard to cosmetic and symptomatic outcome and may preserve the GSV for use as an autologous bypass graft.