Editor-in-Chief Ufuk Demirkılıç Frequency Quarterly Abbreviation Damar Cer Derg Publisher Turkish National Vascular and Endovascular Surgery Society ISSN 1301 - 1839 E-ISSN 2149 - 1259


Turkish Journal of Vascular Surgery 2018 , Vol 27 , Issue 1
Our surgical approach to small saphenous vein reflux
Köksal Dönmez1, Şahin İşcan1
1Department of Cardiovascular Surgery, Katip Celebi University İzmir Atatürk Training and Education Hospital, İzmir, Turkey DOI : 10.9739/tjvs.2018.70 Objectives: In this study, we present our surgical approach to small saphenous vein reflux and short-term endovenous laser ablation experiences.

Patients and methods: A total of 35 patients (20 males, 15 females; mean age 43.8±14.4 years; range, 20 to 70 years) who were operated for small saphenous vein reflux in our clinic between January 2017 and October 2017 were retrospectively analyzed. Age, gender, preoperative comorbidities, diameters of the small and great saphenous veins, venous injury scores, surgical method, anesthesia techniques, and postoperative complications were evaluated.

Results: The mean operated small saphenous vein diameter was 9.5±2.2 cm. Sedation analgesia (n=10, 29%) and tumescent anesthesia (n=25, 71%) were used. Endovenous laser ablation was performed to 21 patients (60%). The small saphenous vein division and partial excision were performed to 13 patients (37%). We had only one complicated operation due to catheterization failure, and we performed ultrasound-guided sclerosing agent infusion to the small saphenous vein. We also performed varicose pack excision in 19 patients (54%) and perforator vein ligation in six patients (17%) in a single session. We observed no sural nerve injury in any patient during the postoperative period.

Conclusion: Today, surgical experience for small saphenous vein has been steadily increasing. Endovenous techniques are still the most optimal options for small saphenous vein surgery and can be safely used under the guidance of ultrasound to avoid complications. Keywords : Endovenous laser ablation; small saphenous vein; varicose veins