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What is vein ligation ? Ligation of the saphenous vein - Ligation or Ligation and stripping of the saphenous veins
Saturday, December 8, 2012

 

 

There have been a lot of studies that have investigated the benefits of ligation and stripping procedures versus ligation alone at the saphenofemoral junction. Most of these studies suggest that ligation of the saphenofemoral junction alone causes a higher rate of recurrence of varicose veins when compared to the combined ligation and stripping procedure of the great saphenous vein. In one study followed for 11 years, repeat surgery was required in 30% of patients who had ligation alone versus 14% of patients who had ligation and stripping of the great saphenous vein. This study was published by Winteborn and colleagues in 2004 (1). In another study, neovascularization or regeneration of veins in the thighs was noted in more than 54% of cases at follow-up and was the cause of ligation of the saphenofemoral junction (2). Several studies have also shown no need for saphenofemoral ligation following endovenous ablation procedures such as VNUS Closure or the EVLT procedures (3,4).

 

1. Winterborn, RJ, et al. (2004). Causes of varicose vein recurrence: late results of a randomized controlled trial of stripping the long saphenous vein. J Vasc Surgery. 40(4): 634-9.

2. Jones L, Braithwaite BD, Selwyn D, et al. Neovascularisation is the principal cause of varicose vein recurrence: results of a randomised trial of stripping the long saphenous vein. Eur J Vasc Endovasc Surg. 1996 Nov;12(4):442-5.

 3. Darwood RJ, Gough MJ. Endovenous laser treatment for uncomplicated varicose veins. Phlebology. 2009;24 Suppl 1:50-61.

4. Theivacumar NS, Dellagrammaticas D, Beale RJ, et al. Fate and clinical significance of saphenofemoral junction tributaries following endovenous laser ablation of great saphenous vein. Br J Surg. 2007 Jun;94(6):722-5.

 

These are excerpts from Dr. Karamanoukian's Atlas of Venous Insufficiency:

 

Dr. Hratch Karamanoukian is a member of the American College of Phlebology AND a Diplomate of the American Board of Phlebology. He can be contacted by calling 716-839-3638 or www.VeinsVeinsVeins.com 

 

 

Dr. Raffy Karamanoukian is a member of the American College of Phlebology AND a Diplomate of the American Board of Phlebology. He can be contacted by calling 310-998-5535 or www.SantaMonicaVeinCenter.com 

 

Drs. Raffy and Hratch Karamanoukian have authored 6 books about venous disease. The books are available on Amazon Kindle and Nook books for download.

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