Surgery for deep venous reflux in the lower limb

Journal des maladies vasculaires
M Perrin

Abstract

Surgery for deep venous reflux (DVR) in the lower limb had displayed, for various reasons a much more limited development than arterial surgery including endovascular techniques. Importance and frequency of DVR in chronic venous disease and particularly in chronic venous insufficiency (CVI) has been fully identified only in the last 20 Years, thanks to the development of duplex-scanning. Despite its effectiveness, deep reconstructive surgery remains controversial which probably explains why this specific surgery is performed by few units worldwide. Furthermore as deep reconstructive surgery is usually combined with superficial and perforator surgery, assessment of its specific benefit is difficult. In patients with severe CVI, venous valvular reflux involves deep vein as an isolated abnormality in less than 10%, but is associated with superficial reflux or/and perforator incompetence in 46%. The most common etiology in DVR is post-thrombotic syndrome accounting for an estimated 60-85% of patients with CVI. Primary reflux is the result of structural abnormalities in the vein wall and the valve itself. A very rare cause of reflux is the absence of valves secondary to agenesis. Surgical techniques for treating DVR can be classifie...Continue Reading

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Citations

Nov 20, 2012·Indian Journal of Plastic Surgery : Official Publication of the Association of Plastic Surgeons of India·Sasanka S Chatterjee
Jan 11, 2013·Case Reports in Vascular Medicine·Celal YavuzBinali Mavitas
Mar 30, 2010·Phlebology·H M MooreA H Davies
Feb 24, 2015·The Cochrane Database of Systematic Reviews·Ravi Raj GoelSimon C Hardy
Jan 2, 2021·Annals of Vascular Diseases·Turhan YavuzEvren Ekingen
Oct 1, 2021·The Cochrane Database of Systematic Reviews·Ravi Raj GoelTamara Brown

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