PMID: 9551354Apr 29, 1998Paper

Postoperative recurrence of varicosities at the level of the popliteal fossa. Anatomic data guiding the ultrasonographic exploration and surgical sequelae

Journal des maladies vasculaires
R Rettori

Abstract

The results of surgery of the short saphenous vein are less consistent than those of the long saphenous vein. The difference has been clarified by anatomo-physio-pathological studies which, as a complement to clinical examination, first used the different phlebography techniques and now benefit from pulsed colour echodoppler. They have shown that, in varicose veins considered to be of the short saphenous system, incompetence at its termination, with its anatomical variations, does not account for all the findings. Thus, imaging and the findings at surgery, have revealed a genuine venous complex in the popliteal fossa situated in four areas: in the sapheno-aponeurotic area with a variable point of termination of the short saphenous vein and important tributaries along its convexity; in the area of the medial head of the gastocnemius muscle with a voluminous trunk formed by the medial gastrocnemial veins which may run towards the termination of the short saphenous vein or even drain into its concavity; in the deep plane of the popliteal vein, which is sometimes double; in the short saphenous network with its very variable vein in the popliteal fossa and the lateral gastrocnemial veins. In practice, this classification helps to id...Continue Reading

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