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Tytuł: Competence of deep veins following superficial surgery for varicose veins of the lower limbs
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Metbods: throughout 200 I - 2004 - 100 patients with varicose veins and concomitant primary deep venous reflux in CEAP 2 - 6 Class scheduled for greater saphenous veins surgery were admitted into the study. Duplex scanning was repeated within one year of the surgery and patients were examined for persistent deep venous reflux, change in diameter of the deep veins and competency of the remaining perforator veins. Results: after one year only 42 patients (age range 20 - 65 years; 29F, 13M) operated on by the modified Babcock method were followed up with duplex scanning. CVI: Class C2 - 13, C3 - 14, C4 - 7, C5 and C6 - 8. The surgery resulted in reduction of reflux in all classes CEAP in 36% of patients with concomitant deep axial reflux and in 90% of patients with concomitant deep segmental reflux. Significant reduction was observed with regard to both diameters of common femoral vein and popliteal vein in Classes C 2 - 3 only in patients witb concomitant segmental reflux in whom after operation we observed competent both segments of veins. The surgery resulted in the reduced diameter of the remaining pertorators (4,05 mm vs 2,58 mm) (p<0,001). The cut-off point for the mean diameter of incompetent perforator vein (by ROC curve) for pathologic reflux 0.5 sec is 3.5 mm (specificity 79%, sensitivity 73%), whereas for pathologic rełlux 0.35 sec-3.3 mm (specificity 80%, sens ; itivity 77%). Conclusions: Patients with varicose veins and concomitant primary deep veoous reflux operated on by the modified Babcock method with multiple miniphlebectomies and perforator veins ligation may reasonably benefit most from surgical intecvention when within CEAP 2 - 3 Class; in higher classes the risk of irreversible deep vein insufficiency being much higher.
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Data ostatniej modyfikacji:
18 lip 2022
Data dodania obiektu:
21 lis 2012
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http://dl.cm-uj.krakow.pl:8080/publication/1229
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| Nazwa wydania | Data |
|---|---|
| ZB-102165 | 18 lip 2022 |
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