PMID: 8980434Nov 1, 1996Paper

Neovascularisation is the principal cause of varicose vein recurrence: results of a randomised trial of stripping the long saphenous vein

European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery
L JonesJonothan J Earnshaw

Abstract

To determine whether routine stripping of the long saphenous vein reduces recurrence after varicose vein surgery. Randomised controlled trial. All operations done by a consultant vascular surgeon. Two year follow-up. One hundred patients with primary long saphenous varicose veins (133 legs) were randomised. Two year follow-up in 81 patients (113 legs) with questionnaire, clinical examination and Duplex scanning. Some 89% remained satisfied with the results of their surgery, though 35% had recurrent veins on clinical examination. Recurrence was reduced from 43 to 25% in patients who had their long saphenous vein stripped (p = 0.04, chi 2). Neovascularisation (serpentine tributaries arising from the ligated saphenofemoral junction) was detected in 52% of limbs and was the commonest cause of recurrence. Most tributaries were less than 3 mm in diameter and only caused recurrence if the long saphenous vein or a major thigh vein was intact. Twelve patients had tributaries greater than 3 mm diameter and all had recurrent varicose veins. Recurrence is common after varicose vein surgery and in this study was caused principally by neovascularisation at the ligated saphenofemoral junction. Clinical recurrence is reduced by routine strippi...Continue Reading

References

Mar 1, 1979·The British Journal of Surgery·B H Jakobsen
Nov 1, 1975·The British Journal of Surgery·S Rivlin
Sep 1, 1992·European Journal of Vascular Surgery·S G Darke
Sep 1, 1992·The British Journal of Surgery·S SarinP D Coleridge Smith
Oct 1, 1994·The British Journal of Surgery·N F Redwood, D Lambert
Oct 1, 1994·The British Journal of Surgery·S SarinP D Coleridge Smith
Nov 1, 1994·The British Journal of Surgery·S SarinP D Coleridge Smith
Jan 1, 1995·The British Journal of Surgery·P A StonebridgeC V Ruckley
Jul 1, 1993·The British Journal of Surgery·D Negus

❮ Previous
Next ❯

Citations

Jul 19, 2012·Der Hautarzt; Zeitschrift für Dermatologie, Venerologie, und verwandte Gebiete·D Stenger, M Hartmann
Aug 30, 2008·Cardiovascular and Interventional Radiology·Lakshmi A RatnamAnthony Lopez
Dec 26, 2009·Cardiovascular and Interventional Radiology·Praveen R AnchalaScott A Resnick
Jul 1, 1999·Cardiovascular Surgery : Official Journal of the International Society for Cardiovascular Surgery·P JiangI Thomson
Mar 29, 2000·Cardiovascular Surgery : Official Journal of the International Society for Cardiovascular Surgery·P JiangI A Thomson
Jul 13, 2002·Journal of the American College of Surgeons·Reinhard FischerNikolaus Linde
Nov 21, 1998·The British Journal of Surgery·K G MercerD C Berridge
Apr 27, 1999·The British Journal of Surgery·F J MeyerK G Burnand
Oct 24, 2000·The British Journal of Surgery·T S BhattiJ J Earnshaw
Sep 1, 2005·Seminars in Interventional Radiology·Michael Ombrellino, Lowell S Kabnick
Sep 1, 2005·Seminars in Interventional Radiology·Gerald Niedzwiecki
Mar 23, 2005·Photomedicine and Laser Surgery·Ronald G BushKarin A Hammond
Mar 23, 2002·BMJ : British Medical Journal·Bruce Campbell
Nov 21, 2008·Dermatologic Surgery : Official Publication for American Society for Dermatologic Surgery [et Al.]·Patrizia PaveiErmanno Ancona
Mar 15, 2005·Dermatologic Surgery : Official Publication for American Society for Dermatologic Surgery [et Al.]·Robert F MerchantKenneth A Myers
Dec 13, 2005·Dermatologic Surgery : Official Publication for American Society for Dermatologic Surgery [et Al.]·Charles Angotti Furtado de Medeiros, George Carchedi Luccas
Mar 25, 2016·The Indian Journal of Surgery·M G VashistJyotsana Sen
Oct 1, 2014·Journal of Vascular Surgery. Venous and Lymphatic Disorders·Alice M WhiteleyMark S Whiteley
Jun 1, 2005·Journal des maladies vasculaires·Christian BoissierUNKNOWN Agence Nationale d'Accreditation et d'Evaluation en Sante (ANAES)
Dec 27, 2011·Annals of Vascular Surgery·César García-MadridEusebi Sala Planell
Jul 9, 2003·Journal of Vascular and Interventional Radiology : JVIR·Steven E Zimmet, Robert J Min
Mar 21, 2009·Cirugía española·Germán Morales-CuencaJose Luis Aguayo-Albasini
Sep 8, 2007·Annals of Vascular Surgery·M A SharifC V Soong
Oct 16, 2007·The Surgical Clinics of North America·Steven M Roth
Jun 7, 2002·Journal of Vascular and Interventional Radiology : JVIR·Tero T RautioKari A Haukipuro
Feb 28, 2007·Journal of Vascular Nursing : Official Publication of the Society for Peripheral Vascular Nursing·Bertien E DumasPieter T den Hoed
Aug 17, 2005·Journal of Vascular Surgery·Lena BlomgrenDavid Bergqvist
Dec 6, 2006·Journal of Vascular Surgery·Bridget EganMartin Feeley
Mar 3, 2009·Journal of Vascular Surgery·Bruno GeierGiuseppe Asciutto
Dec 6, 2006·Journal of Vascular Surgery·Marianne G De MaeseneerPaul E Van Schil
Oct 23, 2009·The British Journal of Surgery·C S Lim, A H Davies
May 18, 2010·The British Journal of Surgery·P ZamboniA Liboni
Mar 26, 2015·Cardiovascular and Interventional Radiology·Anthony James Lopez
Feb 5, 2004·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·L BlomgrenD Bergqvist
Apr 30, 2015·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·C WittensUNKNOWN European Society for Vascular Surgery
Apr 9, 2004·Journal of Vascular Surgery·Markus StückerAchim Mumme
Jan 25, 2013·Journal of Vascular Surgery·Maresa BrakeAlun H Davies

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.

Related Papers

European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery
I NyamekyeJonothan J Earnshaw
Journal of the American College of Surgeons
Reinhard FischerNikolaus Linde
Cardiovascular Surgery : Official Journal of the International Society for Cardiovascular Surgery
P JiangI Thomson
© 2022 Meta ULC. All rights reserved